Provider Demographics
NPI:1821784596
Name:ALVITI, CATHERINE (LDN, RDN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:ALVITI
Suffix:
Gender:F
Credentials:LDN, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 S CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-4618
Mailing Address - Country:US
Mailing Address - Phone:312-355-1466
Mailing Address - Fax:
Practice Address - Street 1:1740 W TAYLOR ST STE C400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7232
Practice Address - Country:US
Practice Address - Phone:312-355-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.007993133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered