Individual
NICOLE HAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
150 E HURON ST FL 13, CHICAGO, IL 60611-2999
(630) 200-7066
Mailing address
150 E HURON ST FL 13, CHICAGO, IL 60611-2999
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164007984
IDFPR
IL
Enumeration date
11/02/2021
Last updated
11/02/2021
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