NPI Profile for LILIYA BURSAK in GLENVIEW, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Nutritionist |
133N00000X |
| NPI # | 1760719892 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/10/2009 | |
| Last updated | 11/10/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LILIYA BURSAK
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