NPI 1164514790 · live from the CMS NPI Registry
Khristi Autajay, R.D.
Dietitian, Registered in Chicago, IL. National Provider Identifier 1164514790, active.
NPI record
| NPI | 1164514790 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1725 W Harrison St, Suite 818, Chicago, IL 60612 |
| Practice phone | 312-563-2110 |
| Enumerated | September 29, 2006 |
| Last updated | March 31, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.