Individual
NICOLE HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1201
Mailing address
2249 N KEDZIE BLVD APT 2, CHICAGO, IL 60647-2561
(815) 207-1237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007389
IL
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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