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Individual

MARIANNE ELLEN LEVINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
2900 N LAKE SHORE DR, SAINT JOSEPH HOSPITAL, CHICAGO, IL 60657-5640
(773) 665-3069
(773) 665-6231
Mailing address
2900 N LAKE SHORE DR, SAINT JOSEPH HOSPITAL, CHICAGO, IL 60657-5640
(773) 665-3069
(773) 665-6231

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
808023
REGISTRATION #
Enumeration date
02/07/2008
Last updated
02/07/2008
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