Individual
LYDIA E URDIALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4108 W FLETCHER ST, CHICAGO, IL 60641-5431
(513) 545-0537
Mailing address
3012 N KNOX AVE, CHICAGO, IL 60641-5203
(872) 588-7516
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006832
IL
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
06/14/2018
Last updated
08/21/2025
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