Marisa Mozer MS, RD, LDN

NPI 1063802247 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1063802247
Gender Female
Enumeration Date 01/27/2015
Last Updated 01/27/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1700 W VAN BUREN SUITE 425
TRIANGLE OFFICE BUILDING:
CHICAGO IL, 60612, US
Phone (312) 942-5926
Fax (312) 942-5203
Business Location
1700 W VAN BUREN SUITE 425
TRIANGLE OFFICE BUILDING:
CHICAGO IL, 60612, US
Phone (312) 942-5926
Fax (312) 942-5203
Toxanomy
Taxonomy Code 133V00000X
License State Illinois
License Number 164006251
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According to our database, Marisa Mozer MS, RD, LDN NPI is 1063802247, taxonomy code is 133V00000X and license number is 164006251, license state is located at Illinois. Marisa Mozer MS, RD, LDN physically located at 1700 W Van Buren Suite 425, Chicago IL, 60612. NPI Number Marisa Mozer MS, RD, LDN has the Individual type.

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1063802247 NPI number is provided on an as is basis without warranty of any kind. 1063802247 is maintained by the National Plan & Provider Enumeration System. The contents of Marisa Mozer MS, RD, LDN are for informational purposes only.