Provider Demographics
NPI:1871709881
Name:ARENAS, JANET (LDN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:ARENAS
Suffix:
Gender:F
Credentials:LDN
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:ESQUIVEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:230 E. OHIO ST
Mailing Address - Street 2:SUITE 410, 1461
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:708-736-0966
Mailing Address - Fax:
Practice Address - Street 1:230 E. OHIO ST
Practice Address - Street 2:SUITE 410, 1461
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5288
Practice Address - Country:US
Practice Address - Phone:708-736-0966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164004356133V00000X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL164004356OtherPROFESSIONAL LICENSE