Mary Krystofiak Russell in Chicago - Dietitian, Registered
Mary Krystofiak Russell - NPI 1043241839
Mary Krystofiak Russell is a Dietitian, Registered in Chicago, Illinois. Mary Krystofiak Russell practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary Krystofiak Russell is 1043241839. The last update date is 2007-07-08.
Mary Krystofiak Russell's current location address is 5841 S Maryland Ave, Chicago, Illinois. You can contact this provider via phone number 7737702150 and fax number 7738341011. The mailing address for Mary Krystofiak Russell is 5841 S Maryland Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Krystofiak Russell |
|---|---|
| Address | 5841 S Maryland Ave, Chicago, Illinois |
| Phone Number | 7737702150 |
| Fax Number | 7738341011 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1043241839 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5841 S Maryland Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606371447 |
| Phone Number | 7737702150 |
| Fax Number | 7738341011 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identification code assigned to Mary Krystofiak Russell by the Centers for Medicare & Medicaid Services?
The Mary Krystofiak Russell has been issued the NPI (National Provider Identifier) 1043241839. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary Krystofiak Russell is geographically located?
The Mary Krystofiak Russell is physically situated at the following location: 5841 S Maryland Ave, Chicago, IL, 606371447.
What is the Mary Krystofiak Russell's area of specialization and corresponding taxonomy classification?
The Mary Krystofiak Russell's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
When was the Mary Krystofiak Russell's 1043241839 issued?
The Mary Krystofiak Russell's 1043241839 was issued on 2006-07-06.
When was the Mary Krystofiak Russell's information last updated?
The Mary Krystofiak Russell's information was last updated on 2007-07-08.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT