Individual
LINDA SAMPRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 W HOMER ST, SUITE 301, CHICAGO, IL 60642-1280
(773) 292-1940
Mailing address
1525 W HOMER ST, SUITE 301, CHICAGO, IL 60642-1280
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004834
IL
Other
Enumeration date
04/11/2009
Last updated
04/11/2009
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