NPI 1659149078 · live from the CMS NPI Registry
Anissa Jenna Amirouche
Dietitian, Registered in Chicago, IL. National Provider Identifier 1659149078, active.
NPI record
| NPI | 1659149078 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 820 S Damen Ave, Chicago, IL 60612 |
| Practice phone | 312-569-7806 |
| Mailing address | 1555 N Sandburg Ter Apt 310, Chicago, IL 60610 |
| Enumerated | December 14, 2023 |
| Last updated | December 14, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164.007812 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.