Doctor Name: | TAMARA WALDSCHMIDT |
NPI Number: | 1942668827 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN, CEDRD |
License Number: | 164000390 |
Business Practice Address: | 445 Jackson Ave Suite 103 Naperville, IL - 605405256 |
Business Phone Number: | 6304877283 |
Business Fax Number: | 6303058549 |
Mailing Address: | 445 Jackson Ave, Suite 103 NAPERVILLE |
State: | IL |
Postal Code: | 605405256 |
Phone Number: | 6304877283 |
Fax Number: | 6303058549 |
NPI Enumeration Date: | 02/05/2016 |
NPI Last Update Date: | 03/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164000390 |
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 |