NPI 1003423229 · live from the CMS NPI Registry
Susannah Marie Baldock, MS, MPH, RD, LDN
Dietitian, Registered in West Dundee, IL. National Provider Identifier 1003423229, active.
NPI record
| NPI | 1003423229 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 18n163 Hidden Hills Trl, West Dundee, IL 60118 |
| Practice phone | 630-204-5773 |
| Enumerated | September 30, 2020 |
| Last updated | September 30, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.