Individual
MRS. STEPHANIE CIUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3080 OGDEN AVE, 104, LISLE, IL 60532-1691
(630) 839-9296
(630) 364-1873
Mailing address
3080 OGDEN AVE, 104, LISLE, IL 60532-1691
(630) 839-9296
(630) 364-1873
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004548
IL
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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