Basic Information
| Provider Information | |||||||||
| NPI: | 1659026136 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHEINER | ||||||||
| FirstName: | MEREDITH | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | MS, RD, LDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 675 N SAINT CLAIR ST STE 20-150 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606115979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3126958146 | ||||||||
| FaxNumber: | 3126957030 | ||||||||
| Practice Location | |||||||||
| Address1: | 675 N SAINT CLAIR ST STE 20-150 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606115979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3126958146 | ||||||||
| FaxNumber: | 3126957030 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2022 | ||||||||
| LastUpdateDate: | 05/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 164008594 | IL | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.