Jennifer C Finch, RD
Individual provider Active NPI Registered Dietitian · Cary, IL
NPI 1619794682 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1619794682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164009551 (IL)
- Practice address
- 1110 Hilary LN
Cary, IL 60013-1400 - Phone
- (847) 712-2879
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164009551 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164009551 | IL | Yes |
Addresses
Primary practice location
1110 Hilary LN
Cary, IL 60013-1400
Mailing address
1551 Algonquin Rd # 1122
Rolling Meadows, IL 60008-4104
Phone (847) 712-2879
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All providers in Cary, 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 Oct 2, 2024. 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.