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General NPI Number Information
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NPI Number | 1477490480
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Entity Type | Organization
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Legal Business Name | ADIE KENNY NUTRITION
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 10641 PALOS WEST DR
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City | PALOS PARK
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State | IL
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Zip | 60464-1598
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Country | US
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Telephone | 708-406-9713
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Fax |
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Provider Business Mailing Address
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Address Line | 980 N MICHIGAN AVE STE 1090
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City | CHICAGO
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State | IL
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Zip | 60611-4521
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADRIANNE KENNY
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Credential | RD, LDN
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Telephone | 708-406-9713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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