Madison Lee Grotto, MBA, RDN
Dietitian, Registered in Lombard, IL. Individual provider (NPI-1).
NPI number1598548125
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1598548125
- Entity type
- Individual (NPI-1)
- Name
- Madison Lee Grotto
- Credential
- MBA, RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
150 W Saint Charles RdLombard, IL 60148-2288
Phone 331-645-8230
Mailing address
150 W Saint Charles RdLombard, IL 60148-2288
Phone 331-645-8230
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