Healthcare Provider Details

I. General information

NPI: 1801295985
Provider Name (Legal Business Name): MARGARET MEZNARICK RDN, LDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 05/25/2022
Certification Date: 05/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 PATRIOT BLVD
GLENVIEW IL
60026-8039
US

IV. Provider business mailing address

25 E SCHAUMBURG RD STE 101
SCHAUMBURG IL
60194-3548
US

V. Phone/Fax

Practice location:
  • Phone: 847-998-9483
  • Fax:
Mailing address:
  • Phone: 847-252-6090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number164.006169
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: