Heba Abdel Latief, RDN
Individual provider Active NPI Registered Dietitian · Chicago, IL
NPI 1821554593 · NPPES record last updated Feb 18, 2019
Key facts
- NPI
- 1821554593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164.007435 (IL)
- Practice address
- 2744 W 63Rd St
Chicago, IL 60629-2343 - Phone
- (773) 434-4626
- NPI assigned
- Feb 18, 2019
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.007435 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition by Heba LLC | Dietitian, Registered | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.007435 | IL | Yes |
Addresses
Primary practice location
2744 W 63Rd St
Chicago, IL 60629-2343
Mailing address
2744 W 63Rd St
Chicago, IL 60629-2343
Other providers in Chicago, IL
- Ramez Nader Abdalla
- Abdullatif Abdallah
- Nada Abdallah
- Sarah Barbara Abdallah
- Wisam Abdallah
- Aiah Abdel-Aal
- Diane Maged Abdel-Barry
- Sarah Abdel-Hadi
- Yasmeen Abdelaal
- Sara Mergani Ahmed Abdelaziz
All providers in Chicago, 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 Feb 18, 2019. 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.