Khudeira, Neda
Khudeira, Neda is an sole proprietor health care provider with primary practice located at 8071 S Cicero Ave , Chicago IL 60652-2003. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Khudeira, Neda can be contacted via phone (773) 585-0480.Contact Information
Primary practice address
8071 S Cicero Ave
Chicago IL 60652-2003
Phone: (773) 585-0480
Fax: (773) 585-0482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 164.007233 | Illinois |
Profile Details
| NPI number | 1114425618 |
|---|---|
| LBN Legal business name | Khudeira, Neda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2018 |
| Last updated | Jan 30th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114425618 | NPPES |
| Illinois | Other | 164.007233 | LICENSED DIETITAN NUTRITIONIST |
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