Individual
ANNA ROSA FASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
Mailing address
4930 N AUSTIN AVE APT 2, CHICAGO, IL 60630-2509
(773) 503-3807
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164010279
IL
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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