MRS. MICHEL D HARRIS


Address: 3523 N Lincoln Ave, Chicago, IL 60657-1137
Phone: 7739296262

MRS. MICHEL D HARRIS (NPI# 1427162056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427162056
Entity Type Individual
Full Name MRS. MICHEL D HARRIS
Other Name MISS MICHEL D. DI VITO
Credential R.D., LDN, CDE
Practice Address 3523 N Lincoln Ave
Chicago
IL 60657-1137
Mailing Address 4356 N Kenmore Ave
Apt 101
Chicago
IL 60613-1330
Practice Telephone 7739296262
Mailing Telephone 3125503612
Enumeration Date 2006-08-19
Last Update Date 2014-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 164003376 IL Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL LICENSED DIETITIAN NUTRITIONIST 164.003376 01
IL TAX ID 46-5085580 01
IL CERTIFIED DIABETES EDUCATOR 20120370 01

Office Location

Street Address 3523 N LINCOLN AVE
City CHICAGO
State IL
Zip Code 60657-1137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699279273 Victoria Davis Dietitian, Registered 3523 N Lincoln Ave, Chicago, IL 60657-1137 2018-03-20
1194265850 Erin Channell Counselor 3523 N Lincoln Ave, Chicago, IL 60657-1137 2017-02-28
1578005880 Julia A. Maher, Lcsw, LLC Social Worker 3523 N Lincoln Ave, Chicago, IL 60657-1137 2016-11-17
1144772526 Sheana Tobey Counselor 3523 N Lincoln Ave, Chicago, IL 60657-1137 2016-11-01
1417406646 Julia Armagnac Maher Social Worker 3523 N Lincoln Ave, Chicago, IL 60657-1137 2016-09-29
1033569470 Sithub Social Worker 3523 N Lincoln Ave, Chicago, IL 60657-1137 2016-06-16
1588035091 The Awakening Center Counselor 3523 N Lincoln Ave, Apt 1305, Chicago, IL 60657 2015-10-09
1659755700 Beth Hennessey, P.C. Counselor 3523 N Lincoln Ave, Chicago, IL 60657-1137 2015-07-17
1538550892 Nancy Hall Counselor 3523 N Lincoln Ave, Chicago, IL 60657-1137 2015-02-09
1407245699 The Awakening Center Community/Behavioral Health 3523 N Lincoln Ave, Chicago, IL 60657-1137 2015-01-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303887 Simone Paes Behavior Technician 3141 N Sheffield Ave, Chicago, IL 60657 2020-10-13
1821613175 Samridhi Khatri Internal Medicine 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 2020-06-12
1467074617 Dewolfe Aesthetic Services Sc Surgery 3357 N. Southport Aveune, Chicago, IL 60657 2020-05-11
1790304657 Mehr Amer Mjeed Student in an Organized Health Care Education/Training Program Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 2020-04-10
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1306493408 Art of Sight Eyecare, LLC Optometrist 2915 N. Broadway, Chicago, IL 60657 2019-08-22
1992359277 Joseph Michael Rochford IIi Counselor 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 2019-07-25
1487116240 Conrad Petersen Dermatology Sc Dermatology 2845 N Sheridan, Chicago, IL 60657 2019-04-02
1003388810 Evolve Wellness S.c. Counselor 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 2018-12-19
1639657414 Advocate North Side Health Network Psychiatric Unit 836 W Wellington Ave., Chicago, IL 60657 2018-08-02
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598366726 Frankie O'brien Dietitian, Registered 2551 N Clark St Ste 400, Chicago, IL 60614-7725 2020-11-04
1841891207 Elizabeth Kristin Julius Dietitian, Registered 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 2020-11-03
1447857065 Tran Huynh Dietitian, Registered 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 2020-10-06
1447867668 Daniela Jannette Dietitian, Registered 1400 N Lake Shore Dr Apt 11b, Chicago, IL 60610-6637 2020-09-30
1598372252 Nora P Egan Dietitian, Registered 2266 W 109th St, Chicago, IL 60643-3212 2020-09-28
1700490273 Adriana Chychula Dietitian, Registered 2229 W Rice St, Chicago, IL 60622-4858 2020-09-02
1912519703 Melissa Freeman Dietitian, Registered 225 E Chicago Ave # 23, Chicago, IL 60611-2991 2020-08-21
1346859873 Jessica Mcfadden Dietitian, Registered 360 W Hubbard St Apt 3910, Chicago, IL 60654-5730 2020-07-30
1114535143 Jannette Rho Dietitian, Registered 3149 N Springfield Ave Apt 3a, Chicago, IL 60618-6550 2020-07-15
1740807437 Lisa Schrader Dietitian, Registered 2003 W Fulton St Ste 3oo, Chicago, IL 60612-2345 2020-06-29
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Competitor

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City CHICAGO
Zip Code 60657

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Dataset Information

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.

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