Wellformed AI

NPI 1194504563 · live from the CMS NPI Registry

Cristina Arceo, MS RDN LDN IBCLC

Dietitian, Registered in Chicago, IL. National Provider Identifier 1194504563, active.

NPI record

NPI1194504563 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location3921 N Lincoln Ave, Chicago, IL 60613
Practice phone312-380-5344
EnumeratedSeptember 26, 2023
Last updatedSeptember 26, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Lactation Consultant, Non-RN174N00000XL-130020 (VA)
Dietitian, Registered primary133V00000X164.005977 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.