Provider Demographics
NPI:1447363171
Name:FINN, JAIME E (RD)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:E
Last Name:FINN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-6484
Mailing Address - Country:US
Mailing Address - Phone:847-977-1224
Mailing Address - Fax:773-292-1939
Practice Address - Street 1:1525 W HOMER ST
Practice Address - Street 2:STE #301
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-1280
Practice Address - Country:US
Practice Address - Phone:773-292-1940
Practice Address - Fax:773-292-1939
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.003955133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK01036Medicare ID - Type UnspecifiedREGISTERED DIETITIAN