NPI 1114012184 · live from the CMS NPI Registry
Patricia M Antonelli, RD, LDN, CDE
Dietitian, Registered in Aurora, IL. National Provider Identifier 1114012184, active.
NPI record
| NPI | 1114012184 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 400 N Highland Ave, Aurora, IL 60506 |
| Practice phone | 630-978-2532 |
| Enumerated | October 4, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164001187 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.