NPI 1457741019 · live from the CMS NPI Registry
Katleya Reyes Baldazo, M.S., R.D., L.D.N
Dietitian, Registered in Schaumburg, IL. National Provider Identifier 1457741019, active.
NPI record
| NPI | 1457741019 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 999 N Plaza Dr, 120, Schaumburg, IL 60173 |
| Practice phone | 773-704-5786 |
| Enumerated | February 3, 2015 |
| Last updated | August 21, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164005127 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.