Amy Lee Kaczor, RDN
Dietitian, Registered in Wheaton, IL. Individual provider (NPI-1).
NPI number1003498643
StatusActive
Last updated in NPPESApr 23, 2021
Details
- NPI
- 1003498643
- Entity type
- Individual (NPI-1)
- Name
- Amy Lee Kaczor
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2021
- Certification date
- Apr 23, 2021
- Last updated
- Apr 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86104655 | IL | Yes |
Practice location
1776 Gloucester Ct Apt DWheaton, IL 60189-8450
Phone 630-670-9998
Mailing address
1776 Gloucester Ct Apt DWheaton, IL 60189-8450
Phone 630-670-9998
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 Registered Dietitian providers in Wheaton · All 2,946 providers in Wheaton
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