NPI 1861285280 · live from the CMS NPI Registry
Lalita Amorntheerakul, RDN
Dietitian, Registered in Chicago, IL. National Provider Identifier 1861285280, active.
NPI record
| NPI | 1861285280 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1029 N Wolcott Ave Apt 2, Chicago, IL 60622 |
| Practice phone | 312-404-6596 |
| Enumerated | May 28, 2025 |
| Last updated | May 28, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164010689 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.