Healthcare Provider Details

I. General information

NPI: 1578099909
Provider Name (Legal Business Name): ERIN OATES MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 N SHERIDAN RD FIFTH FLOOR
CHICAGO IL
60657-7227
US

IV. Provider business mailing address

2845 N SHERIDAN RD FIFTH FLOOR
CHICAGO IL
60657-7227
US

V. Phone/Fax

Practice location:
  • Phone: 773-665-8457
  • Fax:
Mailing address:
  • Phone: 773-665-8457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number164.00610
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: