Provider Demographics
NPI:1609584994
Name:KOMMER, VALERIE (RD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:KOMMER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1948 W ARGYLE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-3358
Mailing Address - Country:US
Mailing Address - Phone:563-249-6994
Mailing Address - Fax:
Practice Address - Street 1:1948 W ARGYLE ST APT 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-3358
Practice Address - Country:US
Practice Address - Phone:563-249-6994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164006746133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered