Individual
MRS. ELIZABETH SHEA BEATTY KWARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ELIZABETH BEATTY RD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1489
Mailing address
622 W 16TH ST UNIT 2, CHICAGO, IL 60616-1187
(970) 218-8248
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004271
IL
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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