Provider Demographics
NPI:1326777269
Name:KARECKA, PAULINA (MS, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:KARECKA
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 HILARY LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-1792
Mailing Address - Country:US
Mailing Address - Phone:847-409-6017
Mailing Address - Fax:
Practice Address - Street 1:1010 HILARY LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-1792
Practice Address - Country:US
Practice Address - Phone:847-409-6017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered