Vanessa Alicea R.D.

NPI 1003104860 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1003104860
Gender Female
Enumeration Date 07/14/2011
Last Updated 07/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2003 W FULTON ST
SUITE 105
CHICAGO IL, 60612-2345, US
Phone (312) 850-3438
Fax (312) 638-9872
Business Location
2003 W FULTON ST
SUITE 105
CHICAGO IL, 60612-2345, US
Phone (312) 850-3438
Fax (312) 638-9872
Toxanomy
Taxonomy Code 133V00000X
License State Illinois
License Number 164005257
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According to our database, Vanessa Alicea R.D. NPI is 1003104860, taxonomy code is 133V00000X and license number is 164005257, license state is located at Illinois. Vanessa Alicea R.D. physically located at 2003 W Fulton St, Chicago IL, 60612-2345. NPI Number Vanessa Alicea R.D. has the Individual type.

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1003104860 NPI number is provided on an as is basis without warranty of any kind. 1003104860 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Alicea R.D. are for informational purposes only.