MARY JULIA DYRA


Address: 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637
Phone: 3129446677

MARY JULIA DYRA (NPI# 1689775199) 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) 1689775199
Entity Type Individual
Full Name MARY JULIA DYRA
Credential R.D.-L.DN
Practice Address 211 E Chicago Ave
Suite 1050
Chicago
IL 60611-2637
Practice Telephone 3129446677
Practice Fax Number 3129443346
Mailing Telephone 3129446677
Mailing Fax Number 3129443346
Enumeration Date 2006-09-26
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
147781 IL Dietary & Nutritional Service Providers

Office Location

Street Address 211 E CHICAGO AVE
SUITE 1050
City CHICAGO
State IL
Zip Code 60611-2637

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NPI Name Taxonomy Address Enumeration
1013910637 David Michael Preble Dentist 211 E Chicago Ave, Suite 1800, Chicago, IL 60611-2637 2005-05-27
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1639554793 Patrick J Gallagher Md Sc Internal Medicine 211 E Chicago Ave, Suite 1300, Chicago, IL 60611-2637 2015-07-29
1740693423 Sean D Oconnor Md Sc Internal Medicine 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637 2014-06-10
1487920302 Annalise Christine James Hussain Obstetrics & Gynecology 211 E Chicago Ave, Suite 1200, Chicago, IL 60611-2637 2012-03-25
1427350776 Specialized Medical Care, LLC Internal Medicine 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637 2010-11-18
1033419387 Eric Terman Md Sc Internal Medicine 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637 2010-11-02
1487987509 Caroline Kalember Internal Medicine 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637 2009-09-08
1942456470 Lindy July Blackwell Physician Assistant 211 E Chicago Ave, Suite 1200, Chicago, IL 60611-2637 2008-08-15
1093978512 Colleen Patricia Doherty Internal Medicine 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637 2008-07-03
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60611

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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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