O'Donnell, Andrea Rae
O'Donnell, Andrea Rae is an sole proprietor health care provider with primary practice located at 2865 N Clybourn Ave , Chicago IL 60618-8269. She recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. O'Donnell, Andrea Rae can be contacted via phone (773) 270-0469.Contact Information
Primary practice address
2865 N Clybourn Ave
Chicago IL 60618-8269
Phone: (773) 270-0469
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | Illinois | |
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | Illinois | |
Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | Illinois | |
Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | Illinois | |
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | Illinois | |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 983479 | Illinois |
Profile Details
NPI number | 1740710060 |
---|---|
LBN Legal business name | O'Donnell, Andrea Rae |
Credentials | RD, LDN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 19th, 2017 |
Last updated | Jul 21st, 2022 - about 2 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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