Madison Smith, RDN, LDN
Dietitian, Registered, Nutrition, Metabolic in Chicago, IL. Individual provider (NPI-1).
NPI number1841002003
StatusActive
Last updated in NPPESJan 24, 2025
Details
- NPI
- 1841002003
- Entity type
- Individual (NPI-1)
- Name
- Madison Smith
- Credential
- RDN, LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2025
- Certification date
- Jan 24, 2025
- Last updated
- Jan 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | 164.008872 | IL | Yes |
Practice location
225 E Chicago Ave # 59Chicago, IL 60611-2991
Phone 312-227-1177
Mailing address
2933 N Sheridan Rd Apt 511Chicago, IL 60657-5934
Phone 513-335-0327
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