SearchIllinois133V00000X

Dua Aldasouqi, MA, RDN

NPI 1316459001 · on the registry since 2017 · sole proprietor

Practice

Address
618 Corey Ln
Champaign, IL 61822
Phone
(314) 833-9694

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois