Taylor Bartosiewicz, RD

Individual provider Active NPI Registered Dietitian · Orland Park, IL

NPI 1619507902 · NPPES record last updated Jan 25, 2020

Key facts

NPI
1619507902
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86119146 (IN)
Practice address
9050 Merion Dr
Orland Park, IL 60462-4788
Phone
(708) 254-7996
NPI assigned
Jan 25, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86119146INMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86119146 IN Yes

Addresses

Primary practice location

9050 Merion Dr
Orland Park, IL 60462-4788

Mailing address

9050 Merion Dr
Orland Park, IL 60462-4788
Phone (708) 254-7996

Other providers in Orland Park, IL

All providers in Orland Park, IL · Registered Dietitian in Illinois

Sources for this page

Verify at the official NPI Registry.