Heather Brennan Sullivan, R.D.

NPI #1003123035 in Chicago, Illinois

Provider Information

NPI Number: 1003123035
Entity Type: Individual
Name: Heather Brennan Sullivan, R.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Sep 13, 2010
Last Updated: Sep 13, 2010

Practice Location

Address: 1711 N LARRABEE ST
Address 2: 2
City: Chicago
State: Illinois
ZIP Code: 60614-5621
Phone: (773) 259-4809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Dietitian, Registered	133V00000X	Primary

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