Individual
NICOLE TUPESIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, RD, LDN, CNSC
Contact information
Practice address
1700 W VAN BUREN ST, SUITE 425 TOB, CHICAGO, IL 60612-5500
(312) 942-5926
(312) 942-5203
Mailing address
1700 W VAN BUREN ST, SUITE 425 TOB, CHICAGO, IL 60612-5500
(312) 942-5926
(312) 942-5203
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.003691
IL
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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