Individual
BRIANNA MASTRODOMENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(312) 243-8487
Mailing address
160 GREENFIELD DR, BLOOMINGDALE, IL 60108-3016
(630) 217-2302
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
06/05/2025
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