Individual
MISS SONIA ESPARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
6358 S LAPORTE AVE, CHICAGO, IL 60638-5826
(312) 434-9738
Mailing address
6358 S LAPORTE AVE, CHICAGO, IL 60638-5826
(312) 434-9738
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005393
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164005393
STATE LICENSE
IL
Enumeration date
12/15/2010
Last updated
08/18/2016
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