THEODIS INGRAM

CHICAGO, IL
NPI1437491644
Other NameTED INGRAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.004677)
Enumeration Date2013-03-26
Last Update Date2013-03-26
Business Address
-- THEODIS INGRAM Registered dietitian
6 E MONROE ST #603
CHICAGO, IL 60603-2704
Phone number: 312-208-1233
Mailing Address
-- THEODIS INGRAM Registered dietitian
6 E MONROE ST #603
CHICAGO, IL 60603-2704
Phone number: 312-208-1233
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