Individual
REBECCA ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
1901 N CLYBOURN AVE # C301, CHICAGO, IL 60614-5090
(773) 472-0560
Mailing address
1960 N LINCOLN PARK W APT 1804, CHICAGO, IL 60614-5444
(224) 623-3356
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
164008819
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164008819
STATE OF ILLINOIS
IL
01
—
CNS18311
AMERICAN NUTRITION ASSOCIATION
—
Enumeration date
10/19/2022
Last updated
10/19/2022
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