NPI 1669284840 · live from the CMS NPI Registry
Anna Anderson, LDN, RD
Dietitian, Registered in Chicago, IL. National Provider Identifier 1669284840, active.
NPI record
| NPI | 1669284840 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1276 N Clybourn Ave, Chicago, IL 60610 |
| Practice phone | 312-337-1078 |
| Mailing address | 6204 S Normandy Ave, Chicago, IL 60638 |
| Enumerated | January 23, 2025 |
| Last updated | January 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | — |
| Dietitian, Registered primary | 133V00000X | 164011689 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.