Witchger, Marysue

Witchger, Marysue is an sole proprietor health care provider with primary practice located at 4027 N Avers Ave , Chicago IL 60618-1901. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Witchger, Marysue can be contacted via phone (773) 583-8963.

Contact Information

Primary practice address
4027 N Avers Ave Chicago IL 60618-1901
Phone: (773) 583-8963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.005489 Illinois

Profile Details

NPI number 1609154095
LBN Legal business name Witchger, Marysue
Credentials RD, LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2011
Last updated Aug 2nd, 2011 - about 15 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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