Jessica Shape
Jessica Shape is a Registered Dietitian in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
710 N Fairbanks CtChicago, IL 60611-3013
Phone: (312) 926-4082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 164006297 (IL) |
|---|
Record details
| NPI number | 1992189724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 10, 2015 |
| Last updated in NPPES | July 10, 2015 |
| Mailing address | 710 N Fairbanks Ct, Chicago, IL 60611-3013 |
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