Healthcare Provider Details

I. General information

NPI: 1912835190
Provider Name (Legal Business Name): BRIANNA GIESE MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E OHIO ST APT 3301
CHICAGO IL
60611-4094
US

IV. Provider business mailing address

345 E OHIO ST APT 3301
CHICAGO IL
60611-4094
US

V. Phone/Fax

Practice location:
  • Phone: 630-605-5872
  • Fax:
Mailing address:
  • Phone: 630-605-5872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number164.023591
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: