SearchIllinois133V00000X

Pushpa Soundararajan, RD, LDN, MBA

NPI 1548638299 · on the registry since 2015 · sole proprietor

Practice

Address
30 E 15th St
Suite 201
Chicago Heights, IL 60411
Phone
(630) 290-1344
Organisation at this address
Antonio Marra
Nitet Charo, Dpm
Emerge Medstaffing Llc
Veterans Administration
Boulevard Pediatrics Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-11

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