JUSTIN I WASHINGTON

CHICAGO, IL
NPI1336105618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164004303)
Enumeration Date2006-04-25
Last Update Date2007-07-08
Business Address
Mr. JUSTIN I WASHINGTON RD
500 E 51ST ST PROVIDENT HOSPITAL
CHICAGO, IL 60615-2400
Phone number: 312-572-1231
Mailing Address
Mr. JUSTIN I WASHINGTON RD
9540 S INDIANA AVE
CHICAGO, IL 60628-1410
Phone number: 312-572-1231
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