Search › Illinois › 133V00000X
Theodis Ingram, REGISTERED DIETITIAN
NPI 1437491644 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6 E Monroe St
#603
Chicago, IL 60603 - Phone
- (312) 208-1233
- Organisation at this address
- Cardinal Labs Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-03-26
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