ANNIE LAURIE WIDLICKA

CHICAGO, IL
NPI1629098231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164004384)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
-- ANNIE LAURIE WIDLICKA MS, RD, LDN
5841 S MARYLAND AVE
CHICAGO, IL 60637-1470
Phone number: 773-702-1000
Mailing Address
-- ANNIE LAURIE WIDLICKA MS, RD, LDN
541 W OAKDALE AVE APT 509
CHICAGO, IL 60657
Phone number: 773-857-3578
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