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Individual

MRS. REBECCA LEE BERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, RD, CNS, CHES

Contact information

Practice address
5061 NORTH PULASKI RD., CHICAGO, IL 60630-2706
(773) 539-9364
(773) 539-0039
Mailing address
5601 N. PULASKI RD., CHICAGO, IL 60630-2706
(773) 539-9364
(773) 539-0039

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.003363
IL

Other

Enumeration date
05/01/2013
Last updated
05/01/2013
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