Individual provider · NPI-1

Heba Abdel Latief, RDN

Dietitian, Registered · Chicago, IL

NPI number1821554593
StatusActive
Last updated in NPPESFeb 18, 2019

Details

NPI
1821554593
Entity type
Individual (NPI-1)
Name
Heba Abdel Latief
Credential
RDN
Sex
Female
Sole proprietor
No
Enumeration date
Feb 18, 2019
Last updated
Feb 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164.007435ILYes

Practice location

2744 W 63rd St
Chicago, IL 60629-2343

Phone 773-434-4626

Mailing address

2744 W 63rd St
Chicago, IL 60629-2343

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