Retelny, Victoria Shanta
Retelny, Victoria Shanta is an sole proprietor health care provider with primary practice located at 3020 N Lincoln Ave , Chicago IL 60657-4208. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Retelny, Victoria Shanta can be contacted via phone (773) 551-9882.Contact Information
Primary practice address
3020 N Lincoln Ave
Chicago IL 60657-4208
Phone: (773) 551-9882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | Illinois | |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | Illinois |
Profile Details
| NPI number | 1780856526 |
|---|---|
| LBN Legal business name | Retelny, Victoria Shanta |
| Credentials | RD, LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Apr 1st, 2008 - about 18 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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