Tracey L. Cicirale in Lockport - Nutrition, Pediatric
Tracey L. Cicirale - NPI 1851417273
Tracey L. Cicirale is a Nutrition, Pediatric in Lockport, Illinois. Tracey L. Cicirale practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Tracey L. Cicirale is 1851417273. The last update date is 2015-08-03.
Tracey L. Cicirale's current location address is 16609 Blackfoot Dr, Lockport, Illinois. You can contact this provider via phone number 8155884016 and fax number 8155884016. The mailing address for Tracey L. Cicirale is 16609 Blackfoot Dr, Lockport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey L. Cicirale |
|---|---|
| Address | 16609 Blackfoot Dr, Lockport, Illinois |
| Phone Number | 8155884016 |
| Fax Number | 8155884016 |
| Sole Proprietor | Y |
| Credentials | RD,LDN |
NPI Number Detail
| NPI Number | 1851417273 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2015-08-03 |
Provider Mailing Address Detail
| Address | 16609 Blackfoot Dr |
|---|---|
| City | Lockport |
| State | Illinois (IL) |
| Post Code | 604411501 |
| Phone Number | 8155884016 |
| Fax Number | 8155884016 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
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Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tracey L. Cicirale by the Centers for Medicare & Medicaid Services?
The Tracey L. Cicirale has been assigned the NPI (National Provider Identifier) 1851417273 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tracey L. Cicirale's facilities are geographically located?
The facilities of Tracey L. Cicirale are physically situated at the following location: 16609 Blackfoot Dr, Lockport, IL, 604411501.
What is Tracey L. Cicirale's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracey L. Cicirale is Nutrition, Pediatric, and the taxonomy classification code that categorizes this area of expertise is 133Vn1004X.
On what date was the 1851417273 assigned to Tracey L. Cicirale?
The Tracey L. Cicirale was issued its 1851417273 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Tracey L. Cicirale most recently updated or revised?
The information pertaining to Tracey L. Cicirale, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-03.