Individual provider · NPI-1

Chukwudi Aguanunu, RDN

Dietitian, Registered · Chicago, IL

NPI number1609602630
StatusActive
Last updated in NPPESSep 9, 2024

Details

NPI
1609602630
Entity type
Individual (NPI-1)
Name
Chukwudi Aguanunu
Credential
RDN
Sex
Male
Sole proprietor
No
Enumeration date
Sep 9, 2024
Certification date
Sep 8, 2024
Last updated
Sep 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164.010758ILYes

Practice location

4135 S Vincennes Ave Apt 2n
Chicago, IL 60653-2761

Phone 773-870-1352

Mailing address

4135 S Vincennes Ave Apt 2n
Chicago, IL 60653-2761

Phone 773-870-1352

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