James Prusha RD

NPI 1316950405 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1316950405
Gender Male
Enumeration Date 08/13/2006
Last Updated 09/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1525 W HOMER ST
# 101
CHICAGO IL, 60642-1280, US
Phone (773) 443-8680
Fax (773) 292-1939
Business Location
1525 W HOMER ST
# 101
CHICAGO IL, 60642-1280, US
Phone (773) 443-8680
Fax (773) 292-1939
Toxanomy
Taxonomy Code 133V00000X
License State Illinois
License Number 164.003327
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According to our database, Mr. James Prusha RD NPI is 1316950405, taxonomy code is 133V00000X and license number is 164.003327, license state is located at Illinois. James Prusha RD physically located at 1525 W Homer St, Chicago IL, 60642-1280. NPI Number James Prusha RD has the Individual type.

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1316950405 NPI number is provided on an as is basis without warranty of any kind. 1316950405 is maintained by the National Plan & Provider Enumeration System. The contents of James Prusha RD are for informational purposes only.