NPI 1780760025 · live from the CMS NPI Registry
Kathleen Marie Ambrose, RD
Dietitian, Registered in Hines, IL. National Provider Identifier 1780760025, active.
NPI record
| NPI | 1780760025 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 5th Ave And Roosevelt Rd, Mail Route 120d Hines Va Hospital, Hines, IL 60141 |
| Practice phone | 708-202-2343 |
| Enumerated | October 30, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.