Madeleine Joy Collanto, RD
Dietitian, Registered in Chicago, IL. Individual provider (NPI-1).
NPI number1265219331
StatusActive
Last updated in NPPESMar 5, 2024
Details
- NPI
- 1265219331
- Entity type
- Individual (NPI-1)
- Name
- Madeleine Joy Collanto
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2023
- Certification date
- Mar 5, 2024
- Last updated
- Mar 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164008979 | IL | Yes |
Practice location
676 N Saint Clair St Ste 2025Chicago, IL 60611-2927
Phone 312-695-0596 · Fax 312-695-5232
Mailing address
676 N Saint Clair St Ste 2025Chicago, IL 60611-2927
Phone 312-695-0596 · Fax 312-695-5232
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