Provider Demographics
NPI:1629674023
Name:POPE, EMILY CLAIRE (MS, RDN)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:CLAIRE
Last Name:POPE
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23W351 WOODCREST CT W
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9467
Mailing Address - Country:US
Mailing Address - Phone:630-453-1741
Mailing Address - Fax:
Practice Address - Street 1:23W351 WOODCREST CT W
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9467
Practice Address - Country:US
Practice Address - Phone:630-453-1741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL86151312133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered