Provider Demographics
NPI:1427572452
Name:KRAFT, ALINA SAVRA (MS RD)
Entity Type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:SAVRA
Last Name:KRAFT
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 W CHURCHILL ST APT 204
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5638
Mailing Address - Country:US
Mailing Address - Phone:847-989-7270
Mailing Address - Fax:
Practice Address - Street 1:2216 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-6494
Practice Address - Country:US
Practice Address - Phone:312-586-1184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.007093133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered