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NPI Code Detail

MEDICARE: LOUIS ALAMILLA RD, CDCES

MEDICARE: LOUIS ALAMILLA RD, CDCES
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 Dietitian164007778IL

General Provider Information

NPI Number : 1659938157
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUIS ALAMILLA RD, CDCES
Provider Business Mailing Address
First Line : 966 W 21ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-4511
Country : US
Telephone Number : 773-254-1400
Fax Number : 312-829-6842
Provider Business Practice Location Address
First Line : 966 W 21ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-4511
Country : US
Telephone Number : 773-254-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 04/23/2026

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Directions to “ LOUIS ALAMILLA RD, CDCES” Practice Location

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