Vanessa Alicea Matos, R.D.

NPI #1003104860 in Chicago, Illinois

Provider Information

NPI Number: 1003104860
Entity Type: Individual
Name: Vanessa Alicea Matos, R.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Jul 14, 2011
Last Updated: Apr 3, 2024

Practice Location

Address: 2003 W FULTON ST
Address 2: SUITE 105
City: Chicago
State: Illinois
ZIP Code: 60612-2345
Phone: (312) 850-3438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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