Alexandra Nicole Kruzel, R.D.N.
Dietitian, Registered in Chicago, IL. Individual provider (NPI-1).
NPI number1982157731
StatusActive
Last updated in NPPESNov 13, 2018
Details
- NPI
- 1982157731
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Nicole Kruzel
- Credential
- R.D.N.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2016
- Last updated
- Nov 13, 2018
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 | 164.006233 | IL | Yes |
Practice location
444 W Jackson BlvdChicago, IL 60606-6923
Phone 312-627-0444 · Fax 312-648-0155
Mailing address
444 W Jackson BlvdChicago, IL 60606-6923
Phone 312-627-0444 · Fax 312-648-0155
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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