JENNIFER L GUSTAFSON, RD,LDN,CDE. CHICAGO, IL

Contact Information

JENNIFER L GUSTAFSON, RD,LDN,CDE.

2233 W DIVISION ST
CHICAGO, IL 60622-8151

Phone: 312-770-2275
Fax: 312-633-5882
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nutrition, Education	133NN1002X

Indicates primary specialty

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NPI Profile & details for JENNIFER L GUSTAFSON · (Female)

NPI #	`1528251485`
Status	Active
Credentials	RD,LDN,CDE.
Entity	Individual
Enumeration date	08/23/2007
Last updated	10/05/2017 - About 9 years ago
Sole proprietor ¹	No
Identifiers	IL License # 164002821
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JENNIFER L GUSTAFSON, RD,LDN,CDE. – NPI #1528251485Nutrition, Education

Contact Information

Specialty

Nutrition, Education

NPI Profile & details for JENNIFER L GUSTAFSON · (Female)

Reviews for JENNIFER L GUSTAFSON

JENNIFER L GUSTAFSON, RD,LDN,CDE. – NPI #1528251485
Nutrition, Education