NPI 1003104860

Vanessa Alicea Matos, RD

Practitioner Registered Dietitian Chicago, IL

Practice location

Address: 2003 W Fulton St Suite 105, Chicago, IL 60612-2345
Phone: (312) 850-3438
Fax: (312) 638-9872

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164005257 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1003104860
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2011
Record last updated: 3 Apr 2024

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.