MARY KRYSTOFIAK RUSSELL

CHICAGO, IL
NPI1043241839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.004471)
Enumeration Date2006-07-06
Last Update Date2007-07-08
Business Address
-- MARY KRYSTOFIAK RUSSELL RD
5841 S MARYLAND AVE MC 0988
CHICAGO, IL 60637-1447
Phone number: 773-770-2150
Mailing Address
-- MARY KRYSTOFIAK RUSSELL RD
5841 S MARYLAND AVE MC 0988
CHICAGO, IL 60637-1447
Phone number: 773-770-2150
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