Individual
CLAYTON JOSEPH MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1943 S MAY ST # 1F, CHICAGO, IL 60608-3359
(312) 549-8866
Mailing address
1943 S MAY ST # 1F, CHICAGO, IL 60608-3359
(312) 549-8866
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164007803
—
IL
Enumeration date
09/26/2019
Last updated
04/02/2020
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