Individual provider · NPI-1
Julie Adams, RD
Dietitian, Registered · Chicago, IL
NPI number1417569153
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1417569153
- Entity type
- Individual (NPI-1)
- Name
- Julie Adams
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2020
- Certification date
- Aug 22, 2020
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.007355 | IL | Yes |
Practice location
225 E Chicago AveChicago, IL 60611-2991
Phone 312-227-5067 · Fax 312-227-9441
Mailing address
1310 Chestnut AveWilmette, IL 60091-1618
Phone 847-251-5617
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