Provider Demographics
NPI:1225427164
Name:GERACI, MARGARET (RD, LDN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:GERACI
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 973W
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2281
Mailing Address - Country:US
Mailing Address - Phone:312-878-8800
Mailing Address - Fax:312-448-9978
Practice Address - Street 1:845 N MICHIGAN AVE
Practice Address - Street 2:SUITE 973W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2281
Practice Address - Country:US
Practice Address - Phone:312-878-8800
Practice Address - Fax:312-448-9978
Is Sole Proprietor?:No
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164006355133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered