Doctor Name: | MS. JEAN OWEN ALVES |
NPI Number: | 1265784755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 164.005785 |
Business Practice Address: | 1700 W Van Buren St Ste 425 Tob Chicago, IL - 606125500 |
Business Phone Number: | 3129425926 |
Business Fax Number: | 3129425203 |
Mailing Address: | 1700 W Van Buren St, Ste 425 Tob CHICAGO |
State: | IL |
Postal Code: | 606125500 |
Phone Number: | 3129425926 |
Fax Number: | 3129425203 |
NPI Enumeration Date: | 10/08/2012 |
NPI Last Update Date: | 10/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.005785 |
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 |