Doctor Name: | MRS. MELISSA ELLEN ROCH |
NPI Number: | 1275788713 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | 164.004658 |
Business Practice Address: | 836 W Wellington Ave Advocate Illinois Masonic Medical Center, Food And Nutr Chicago, IL - 606575147 |
Business Phone Number: | 7732965912 |
Business Fax Number: | 7732965914 |
Mailing Address: | 1255 W Addison St, #3 CHICAGO |
State: | IL |
Postal Code: | 606133818 |
Phone Number: | 7733607605 |
Fax Number: | 7733607605 |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.004658 |
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 |