DANIEL W LARSON

CHICAGO, IL
NPI1891273108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164007258)
Enumeration Date2018-07-30
Last Update Date2018-09-12
Business Address
DANIEL W LARSON LDN
444 W JACKSON BLVD
CHICAGO, IL 60606-6923
Phone number: 312-627-0444
Mailing Address
DANIEL W LARSON LDN
619 W JACKSON BLVD
CHICAGO, IL 60661-5606
Phone number: 312-648-4666
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