Julia Fechtner, RD
Individual provider Active NPI Registered Dietitian · Zion, IL
NPI 1912486135 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1912486135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 2520 Elisha Ave
Zion, IL 60099-2676 - Phone
- (847) 731-4157
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210428000761 | IL | Practitioner - Registered Dietitian Or Nutrition Professional | 3072921220 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
2520 Elisha Ave
Zion, IL 60099-2676
Mailing address
2520 Elisha Ave
Zion, IL 60099-2676
Other providers in Zion, IL
- Lafay Erving
- Susan Jean Fairley-Holbach
- Faith Home Care Services
- Hongyu Fang
- Laura C Farrington
- First Call Surgical Assisting Inc.
- Debra J Foulkes
- Eric S Fowler
- Fresenius Medical Care Zion, LLC
- Kenny L Fritz Jr.
All providers in Zion, 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 Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.