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1831578202
MARK LEVINE
CHICAGO, IL
NPI
1831578202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164006471)
Enumeration Date
2015-05-19
Last Update Date
2015-05-19
Business Address
-- MARK LEVINE
444 W JACKSON BLVD
CHICAGO, IL 60606-6923
Phone number: 312-627-0444
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Mailing Address
-- MARK LEVINE
444 W JACKSON BLVD
CHICAGO, IL 60606-6923
Phone number: 312-627-0444
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