NPI 1003074626

Mireya E Renteria, RDLDN

Practitioner Registered Dietitian Chicago, IL

Practice location

Address: 2355 S Western Ave, Chicago, IL 60608-3837
Phone: (773) 650-1220
Fax: (773) 650-1218

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164.003673 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1003074626
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2008
Record last updated: 11 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.