MS. MARY M NIEWINSKI (NPI# 1366678153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366678153 |
| Entity Type | Individual |
| Full Name | MS. MARY M NIEWINSKI |
| Credential | MS, RD, LDN |
| Practice Address |
5424 N Nashville Ave Chicago IL 60656-2209 |
| Practice Telephone | 7734564201 |
| Practice Fax Number | 3123550739 |
| Mailing Telephone | 7734564201 |
| Mailing Fax Number | 3123550739 |
| Enumeration Date | 2009-06-07 |
| Last Update Date | 2009-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
IL | Dietary & Nutritional Service Providers | |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
IL | Dietary & Nutritional Service Providers |
| Street Address |
5424 N NASHVILLE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60656-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356885479 | Daniel Phalin | Physician Assistant | 5666 E. State St, Rockford, IL 60656 | 2016-12-08 |
| 1093083768 | Renalyn Rico | Physical Therapist | Gem Staffing Inc, 5440 N. Cumberland, 101a, Chicago, IL 60656 | 2011-12-08 |
| 1467734582 | Ralph A Cardone | Pharmacist | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-14 |
| 1326293226 | Richard J Bret | Dentist | 7100 W. Higgins, Chicago, IL 60656 | 2008-11-20 |
| 1588813372 | Ozgul Kadriye Holmgren | Behavioral Analyst | 7634 W Balmoral Ave, Chicago, IL 60656 | 2008-09-16 |
| 1841342375 | Magdi Naguib Gayed | Dentist | 8441 West Lawrence Ave, Chicago, IL 60656 | 2007-01-17 |
| 1225105281 | Frank Capobianco | Internal Medicine | 7046 W Higgins, Chicago, IL 60656 | 2006-11-28 |
| 1730136276 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 4734 N Cumberland Ave, Chicago, IL 60656 | 2006-05-30 |
| 1336195726 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 7342 W Foster Ave, Chicago, IL 60656 | 2006-05-26 |
| 1508149865 | Walgreens | Point of Service | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-23 |
| Find all providers in zip 60656 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639553142 | Bianca Roe | Dietitian, Registered | 2630 W Bradley Pl Ste A, Chicago, IL 60618-4704 | 2015-07-14 |
| 1801022645 | Lauren Kime | Dietitian, Registered | 1747 N Cleveland Ave Apt 1f, Chicago, IL 60614-9250 | 2009-06-08 |
| 1154920122 | Saja Froukh | Dietitian, Registered | 6501 S Promontory Dr, Chicago, IL 60649-1002 | 2020-10-21 |
| 1255945838 | Patrice H. Swiontek | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 |
| 1770196776 | Katherine Jade Arduini | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-28 |
| 1740893072 | Jennifer Bathgate | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-26 |
| 1487279014 | Evolve Yoga & Fitness LLC | Dietitian, Registered | 7252 W Foster Ave, Chicago, IL 60656-3612 | 2020-06-09 |
| 1346890688 | Alexis Virlee | Dietitian, Registered | 1700 W Van Buren St Ste 425, Chicago, IL 60612-5500 | 2019-09-18 |
| 1548632136 | Stacie Renee Schaller | Dietitian, Registered | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2015-10-22 |
| 1720490709 | Georgia Marinis Diakakis | Dietitian, Registered | 849 N Franklin St, Apt 1009, Chicago, IL 60610-8793 | 2014-05-27 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.