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NPI Code Detail

MEDICARE: AMELIA O'BRIEN-COMBS MPH, RDN

MEDICARE: AMELIA O'BRIEN-COMBS MPH, RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1437815594
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA O'BRIEN-COMBS MPH, RDN
Provider Business Mailing Address
First Line : 3921 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2417
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3921 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2417
Country : US
Telephone Number : 872-216-7870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2021
Last Update Date : 11/12/2021

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