Emily Simo, MS RDN LDN
Individual provider Active NPI Registered Dietitian · Chicago, IL
NPI 1043976038 · NPPES record last updated Nov 13, 2021
Key facts
- NPI
- 1043976038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164.008118 (IL)
- Practice address
- 3921 N Lincoln Ave
Chicago, IL 60613-2417 - Phone
- (630) 352-8813
- NPI assigned
- Nov 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.008118 | IL | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.008118 | IL | Yes |
Addresses
Primary practice location
3921 N Lincoln Ave
Chicago, IL 60613-2417
Mailing address
629 W Crockett Ave
Elmhurst, IL 60126-1855
Phone (630) 352-8813
Other providers in Chicago, IL
- Katie Harris Simms
- Kelly A Simms
- Morgan Alexandra Simms
- Sarah Simms
- Sharla Simms
- Kelsey Simoens
- Simon and Simon, P.C.
- Debbie Lisa Simon Palaparthi
- Linda Simon-Price
- Amanda Simon
All providers in Chicago, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.