Kristin A. R. Gustashaw M.S., R.D., L.D.N.

NPI 1154429751 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1154429751
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1700 W VAN BUREN ST
SUITE 425 TOB
CHICAGO IL, 60612-3218, US
Phone (312) 942-3438
Fax (312) 942-5203
Business Location
1700 W VAN BUREN ST
SUITE 425 TOB
CHICAGO IL, 60612-3218, US
Phone (312) 942-3438
Fax (312) 942-5203
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
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According to our database, Mrs. Kristin A. R. Gustashaw M.S., R.D., L.D.N. NPI is 1154429751, taxonomy code is 133V00000X Kristin A. R. Gustashaw M.S., R.D., L.D.N. physically located at 1700 W Van Buren St, Chicago IL, 60612-3218. NPI Number Kristin A. R. Gustashaw M.S., R.D., L.D.N. has the Individual type.

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1154429751 NPI number is provided on an as is basis without warranty of any kind. 1154429751 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin A. R. Gustashaw M.S., R.D., L.D.N. are for informational purposes only.