Oden, Glenda D

Oden, Glenda D is an individual health care provider with primary practice located at 4259 S Berkeley Ave , Chicago IL 60653-3030. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Oden, Glenda D can be contacted via phone (773) 268-7600.

Contact Information

Primary practice address
4259 S Berkeley Ave Chicago IL 60653-3030
Phone: (773) 268-7600
Fax: (773) 268-1480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 0000000664 Tennessee
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X D1416 Mississippi

Profile Details

NPI number 1538351200
LBN Legal business name Oden, Glenda D
Credentials RD, CDE, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Jul 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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