Doctor Name: | MRS. MICHELLE MARIE MCGRATH |
NPI Number: | 1215282587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | 164.004679 |
Business Practice Address: | 2525 S Michigan Ave Chicago, IL - 606162333 |
Business Phone Number: | 3125672090 |
Business Fax Number: | 3123287791 |
Mailing Address: | 6329 N Leroy Ave, CHICAGO |
State: | IL |
Postal Code: | 606464813 |
Phone Number: | 3125231457 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2012 |
NPI Last Update Date: | 07/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.004679 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |