NPI 1043094188 · live from the CMS NPI Registry
Mia Elizabeth Bailey, RD
Dietitian, Registered in Chicago, IL. National Provider Identifier 1043094188, active.
NPI record
| NPI | 1043094188 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2551 N Clark St Ste 400, Chicago, IL 60614 |
| Practice phone | 312-533-1754 |
| Enumerated | August 21, 2023 |
| Last updated | June 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1872 (NH) |
| Dietitian, Registered | 133V00000X | 074.0134450 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.