NPI 1760894414 · live from the CMS NPI Registry
Jessica Coral Allender, MS, RD, LDN
Dietitian, Registered in Chicago, IL. National Provider Identifier 1760894414, active.
NPI record
| NPI | 1760894414 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6116 S University Ave, Apt 1s, Chicago, IL 60637 |
| Practice phone | 773-710-2237 |
| Enumerated | May 29, 2014 |
| Last updated | May 29, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164.004016 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.