Vickie Marie in Chicago - Dietitian, Registered

Vickie Marie - NPI 1841337086

Vickie Marie is a Dietitian, Registered in Chicago, Illinois. Vickie Marie practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Vickie Marie is 1841337086. The last update date is 2010-12-29.

Vickie Marie's current location address is 10553 S Calumet Ave, Chicago, Illinois. You can contact this provider via phone number 7732642687 and fax number 7732642687. The mailing address for Vickie Marie is 10553 S Calumet Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Vickie Marie
Address 10553 S Calumet Ave, Chicago, Illinois
Phone Number 7732642687
Fax Number 7732642687
Sole Proprietor Y
Credentials MA, RD, LD

NPI Number Detail

NPI Number 1841337086
Provider Enumeration Date 2007-01-30
Last Updated Date 2010-12-29

Provider Mailing Address Detail

Address 10553 S Calumet Ave
City Chicago
State Illinois (IL)
Post Code 606282836
Phone Number 7732642687
Fax Number 7732642687

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 164003006
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1633301 IL BLUE CROSS BLUE SHIELD

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FAQs about Vickie Marie

What is the Vickie Marie's unique identification number?

The Vickie Marie has been assigned the NPI (National Provider Identifier) Number 1841337086 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Vickie Marie is geographically located?

The Vickie Marie is physically situated at the following location: 10553 S Calumet Ave, Chicago, IL, 606282836.

What is Vickie Marie's specialized field of practice, and what is the corresponding taxonomy classification code?

The Vickie Marie's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.

On what date was the 1841337086 assigned to Vickie Marie?

The Vickie Marie was issued its 1841337086 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Vickie Marie most recently updated or refreshed?

The details pertaining to the Vickie Marie, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-12-29.

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