Margaret Roche Dudek, M.S., R.D., L.D.N.,
Individual provider Active NPI Registered Dietitian · Riverside, IL
NPI 1104993245 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104993245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 51 E Burlington St
Riverside, IL 60546-2124 - Phone
- (708) 442-0123
- Fax
- (708) 442-0930
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 164-000278 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bounce Cuisine LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | IL | Yes |
Addresses
Primary practice location
51 E Burlington St
Riverside, IL 60546-2124
Mailing address
51 E Burlington St
Riverside, IL 60546-2124
Phone (708) 442-0123
Other providers in Riverside, IL
- Chaiyapon Couropmitree
- Micaela Cruz
- Mario Ezzar Damian Cardenas
- Bilyana Stanimirova Daskalova
- Pradipkumar Shantilal Desai
- Navos Pon Golda Durai
- Edward Tong M.D., P.C.
- Kori Feldman
- Samantha Fornaris
- Frank R. Orland, D.D.S. & Carla P. Orland, D.D.S., LTD.
All providers in Riverside, 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 Jul 8, 2007. 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.