Anne C Kozek, Rd,Ms,LDN Your Creative Nutrition Resource

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.001499 Issued in IL

Legal business name

ANNE C KOZEK, RD,MS,LDN YOUR CREATIVE NUTRITION RESOURCE

Practice address

2738 W 111TH St
Chicago, IL 60655-1832

Phone

(773) 429-9614

NPI assigned

Jul 30, 2009

Organization subpart

No

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

Authorized official

Name

Anne Catherine Kozek, RD,MS,LDN

Title

Dietitian/Owner

Phone

(773) 429-9614

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1659502284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551832",
            "telephone_number": "773-429-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551832",
            "telephone_number": "773-429-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE C KOZEK, RD,MS,LDN YOUR CREATIVE NUTRITION RESOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "KOZEK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "773-429-9614",
        "authorized_official_credential": "RD,MS,LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.001499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Asha Anne

• 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 Jul 30, 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.