Provider Demographics
NPI:1871326132
Name:GARCIA, CLAUDIA P (MS, RDN)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:P
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:P
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN
Mailing Address - Street 1:835 W LELAND AVE APT 1F
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5127
Mailing Address - Country:US
Mailing Address - Phone:312-351-3023
Mailing Address - Fax:
Practice Address - Street 1:835 W LELAND AVE APT 1F
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5127
Practice Address - Country:US
Practice Address - Phone:312-351-3023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.009000133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered