NPI 1437861135 · live from the CMS NPI Registry
Tracy Baldenegro, RD
Dietitian, Registered in Oak Park, IL. National Provider Identifier 1437861135, active.
NPI record
| NPI | 1437861135 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1000 Lake St Apt 1610, Oak Park, IL 60301 |
| Practice phone | 815-228-5225 |
| Enumerated | December 14, 2022 |
| Last updated | December 14, 2022 |
| 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.