Individual
GANNON BRZOSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3058
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.008336
IL
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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