NPI 1366068033 · live from the CMS NPI Registry
Justyna Bergholz, RDN
Dietitian, Registered in Chicago, IL. National Provider Identifier 1366068033, active.
NPI record
| NPI | 1366068033 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4555 N Lincoln Ave, Chicago, IL 60625 |
| Practice phone | 219-327-4756 |
| Enumerated | June 18, 2020 |
| Last updated | April 2, 2025 |
| Sole proprietor | No |
| Other names | Justyna Walkosz |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37003107A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.