Angela Ilesila Douge RD

NPI 1457593600 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1457593600
Gender Female
Enumeration Date 04/02/2009
Last Updated 04/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
439 E 31ST ST
SUITE 215
CHICAGO IL, 60616-4000, US
Phone (312) 949-1010
Fax
Business Location
169 N GROVE AVE
OAK PARK IL, 60301-1329, US
Phone (708) 426-9020
Fax
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
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According to our database, Ms. Angela Ilesila Douge RD NPI is 1457593600, taxonomy code is 133V00000X Angela Ilesila Douge RD physically located at 439 E 31st St, Chicago IL, 60616-4000. NPI Number Angela Ilesila Douge RD has the Individual type.

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1457593600 NPI number is provided on an as is basis without warranty of any kind. 1457593600 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Ilesila Douge RD are for informational purposes only.