NPI 1487267175 · live from the CMS NPI Registry
Robyn Michelle Blackford, RDN
Dietitian, Registered in Chicago, IL. National Provider Identifier 1487267175, active.
NPI record
| NPI | 1487267175 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 225 E Chicago Ave, Chicago, IL 60611 |
| Practice phone | 312-227-3540 |
| Mailing address | 8618 Harrison Ave, Munster, IN 46321 |
| Enumerated | August 24, 2020 |
| Last updated | August 24, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 926497 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.