NPI 1659502284 · live from the CMS NPI Registry
Anne C Kozek, Rd,Ms,Ldn Your Creative Nutrition Resource
Dietitian, Registered in Chicago, IL. National Provider Identifier 1659502284, active.
NPI record
| NPI | 1659502284 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2738 W 111th St, Chicago, IL 60655 |
| Practice phone | 773-429-9614 |
| Enumerated | July 30, 2009 |
| Last updated | July 30, 2009 |
| Authorized official | Anne Kozek, Dietitian/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164.001499 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.