Individual
LALITA AMORNTHEERAKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1029 N WOLCOTT AVE APT 2, CHICAGO, IL 60622-4179
(312) 404-6596
Mailing address
1029 N WOLCOTT AVE APT 2, CHICAGO, IL 60622-4179
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164010689
IL
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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