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Contact Information

DIANE M DADIVAS, RD
8439 N CLIFTON AVE
NILES, IL60714-1803
 Phone: 281-901-8481
 Fax: 833-271-4447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for DIANE M DADIVAS · (Female)

NPI Number 1790090033
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 08/11/2010
Last updated 06/12/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 164.005298
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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