NPI 1366639866 · live from the CMS NPI Registry
Susan Allen, RD, CCN
Dietitian, Registered in Park Ridge, IL. National Provider Identifier 1366639866, active.
NPI record
| NPI | 1366639866 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 15 N Prospect Ave, Park Ridge, IL 60068 |
| Practice phone | 847-232-9800 |
| Enumerated | September 27, 2007 |
| Last updated | September 27, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164.002818 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.