Individual provider · NPI-1

Jennifer Alexis Aguirrie

Dietitian, Registered · Chicago, IL

NPI number1326719113
StatusActive
Last updated in NPPESSep 24, 2021

Details

NPI
1326719113
Entity type
Individual (NPI-1)
Name
Jennifer Alexis Aguirrie
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 22, 2021
Certification date
Sep 24, 2021
Last updated
Sep 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164.008528ILYes

Practice location

1735 W Diversey Pkwy Apt 309
Chicago, IL 60614-9386

Phone 512-567-2333

Mailing address

1735 W Diversey Pkwy Apt 309
Chicago, IL 60614-9386

Phone 512-567-2333

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