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NPI 1316355019 · live from the CMS NPI Registry

Maya Bach, MPH, RDN, LDN

Dietitian, Registered in Chicago, IL. National Provider Identifier 1316355019, active.

NPI record

NPI1316355019 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location10 E Ontario St Apt 4506, Chicago, IL 60611
Practice phone916-667-2020
EnumeratedJuly 25, 2014
Last updatedNovember 4, 2019
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X164.006219 (IL)

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