Provider Demographics
NPI:1619264181
Name:HARRIGAN, LINDSEY KRUMREI (RD, LDN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KRUMREI
Last Name:HARRIGAN
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 1:5526 N WINTHROP AVE
Mailing Address - Street 2:UNIT 4N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-1464
Mailing Address - Country:US
Mailing Address - Phone:608-469-0709
Mailing Address - Fax:
Practice Address - Street 1:5526 N WINTHROP AVE
Practice Address - Street 2:UNIT 4N
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-1464
Practice Address - Country:US
Practice Address - Phone:608-469-0709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.004612133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered