Basic Information
| Provider Information | |||||||||
| NPI: | 1518447796 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DOSHI | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | ELYSE | ||||||||
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| Credential: | RD, LD, MS, CSOWM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3215 PLANTATION CT | ||||||||
| Address2: | |||||||||
| City: | NAPERVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605645674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7348456856 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1331 W 75TH ST STE 201 | ||||||||
| Address2: | |||||||||
| City: | NAPERVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605409311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6305277205 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2018 | ||||||||
| LastUpdateDate: | 08/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 1032606 | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.