Mary Catherine Mullen, M.R., R.D., L.D.N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164001908 Issued in IL

Practice address

1700 W Van Buren Street Suite 425 Tob
Chicago, IL 60612

Phone

(312) 942-5926

Fax

(312) 942-5203

NPI assigned

Sep 11, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1104159987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W VAN BUREN STREET SUITE 425 TOB",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-5926",
            "fax_number": "312-942-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W VAN BUREN STREET SUITE 425 TOB",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-5926",
            "fax_number": "312-942-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "M.R., R.D., L.D.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164001908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajendra Prasad Mullapudi, M.D.
• Anne Carter Mullen, MA, LPC
• Kerry B. Mullen, PSY.D.
• Lucille Campbell Mullen
• Marissa A Mullen, PA-C
• Susan M. Mullen, LCSW, CADC
• Megan Mullenbach
• Melissa Ann Mullens, PA-C
• Hellmuth Ricardo Muller Moran, MD
• Agnes B Muller-Goldstein, PT

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.