MEDICARE: GIAVANNA FALBO RDN, LDN

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
1	133V00000X	Registered Dietitian	164.007922	IL

General Provider Information

NPI Number	:	1538772512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIAVANNA FALBO RDN, LDN

Provider Business Mailing Address
First Line	:	5214 N WESTERN AVE STE 102
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-2588
Country	:	US
Telephone Number	:	872-216-7870
Fax Number	:

Provider Business Practice Location Address
First Line	:	5214 N WESTERN AVE STE 102
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-2588
Country	:	US
Telephone Number	:	872-216-7870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	03/11/2025

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