Provider Demographics
NPI:1336464148
Name:BAMMI, AARTI (MS, RD, LD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:AARTI
Middle Name:
Last Name:BAMMI
Suffix:
Gender:F
Credentials:MS, RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SYMPHONY WAY
Mailing Address - Street 2:DIABETES CENTER
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-5589
Mailing Address - Country:US
Mailing Address - Phone:224-783-5450
Mailing Address - Fax:847-742-4584
Practice Address - Street 1:100 SYMPHONY WAY
Practice Address - Street 2:DIABETES CENTER
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-5589
Practice Address - Country:US
Practice Address - Phone:224-783-5450
Practice Address - Fax:847-742-4584
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.002112133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic