Kaitlin Chakos Rodriguez, MS, RD, LDN
Individual provider Active NPI Registered Dietitian · La Grange, IL
NPI 1689313637 · NPPES record last updated May 30, 2022
Key facts
- NPI
- 1689313637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164008731 (IL)
- Practice address
- 306 S Catherine Ave
La Grange, IL 60525-6302 - Phone
- (630) 408-1157
- NPI assigned
- May 28, 2022
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164008731 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Married to Health | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 164008731 | IL | Yes |
Addresses
Primary practice location
306 S Catherine Ave
La Grange, IL 60525-6302
Mailing address
306 S Catherine Ave
La Grange, IL 60525-6302
Other providers in La Grange, IL
- Natalia Resendiz
- Jason Benjamin Rice
- Gina Ring
- Robert J Susin PC
- Timothy Alan Robieson
- Thelma M Rodriguez
- Katarzyna Helena Rogala
- Sarah Elizabeth Romanowski
- Root Rehab LLC
- Andrea Rose
All providers in La Grange, 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 May 30, 2022. 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.