JESSICA SHAPE

CHICAGO, IL
NPI1992189724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164006297)
Enumeration Date2015-07-10
Last Update Date2015-07-10
Business Address
-- JESSICA SHAPE
710 N FAIRBANKS CT
CHICAGO, IL 60611-3013
Phone number: 312-926-4082
Mailing Address
-- JESSICA SHAPE
710 N FAIRBANKS CT
CHICAGO, IL 60611-3013
Phone number: