NPI 1063174837 · live from the CMS NPI Registry
Patricia Abernathy
Dietitian, Registered in La Grange, IL. National Provider Identifier 1063174837, active.
NPI record
| NPI | 1063174837 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1001 8th Ave, La Grange, IL 60525 |
| Practice phone | 630-258-5752 |
| Enumerated | October 9, 2021 |
| Last updated | October 9, 2021 |
| 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.