Provider Demographics
NPI:1659518025
Name:MILUNAS, NINA C (RD LDN)
Entity Type:Individual
Prefix:MS
First Name:NINA
Middle Name:C
Last Name:MILUNAS
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 1:1138 LOYOLA DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1278
Mailing Address - Country:US
Mailing Address - Phone:847-680-1993
Mailing Address - Fax:
Practice Address - Street 1:1525 W HOMER ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-1280
Practice Address - Country:US
Practice Address - Phone:773-292-1940
Practice Address - Fax:773-292-1939
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.005026133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered