Individual
BRET MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
2003 W FULTON ST, CHICAGO, IL 60612-2345
(312) 850-3438
Mailing address
17W 718 BUTTERFIELD RD APT 307, OAKBROOK TERRACE, IL 60181
(631) 338-8794
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1067229
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164006276
LDN
IL
Enumeration date
07/08/2014
Last updated
09/02/2014
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