Individual
ANDREA RAE O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2865 N CLYBOURN AVE, CHICAGO, IL 60618-8269
(773) 270-0469
Mailing address
2865 N CLYBOURN AVE, CHICAGO, IL 60618-8269
(773) 270-0469
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
IL
133NN1002X
Nutrition Education Nutritionist
—
IL
133V00000X
Registered Dietitian
Primary
983479
IL
133VN1004X
Pediatric Nutrition Registered Dietitian
—
IL
133VN1005X
Renal Nutrition Registered Dietitian
—
IL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
IL
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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