NPI 1376157479

Adriana Bueno, NDTR

Practitioner Registered Dietetic Technician Chicago, IL

Practice location

Address: 225 E Chicago Ave # 59, Chicago, IL 60611-2991
Phone: (312) 227-1210
Mailing address: 4220 S Champlain Ave APT 2n, Chicago, IL 60653-2951

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86052267 (IL)

Other Dietetic Technician, Registered providers in Illinois →

Registry record

NPI: 1376157479
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2020
Record last updated: 4 Sep 2020

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.