KRISTEN DESHIDA-SUCH

CHICAGO, IL
NPI1417583535
Former NameKRISTEN DESHIDA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.00443)
Enumeration Date2020-03-20
Last Update Date2020-03-20
Business Address
KRISTEN DESHIDA-SUCH RD
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-6427
Mailing Address
KRISTEN DESHIDA-SUCH RD
10512 S SUN VALLEY CT
PALOS HILLS, IL 60465-1783
Phone number: