Provider Demographics
NPI:1962838680
Name:ZALEWSKI, CAITLIN MARIE (RDN, CSR, LDN)
Entity Type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:MARIE
Last Name:ZALEWSKI
Suffix:
Gender:F
Credentials:RDN, CSR, LDN
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:MARIE
Other - Last Name:KANNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2215 W MONTROSE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-1790
Mailing Address - Country:US
Mailing Address - Phone:224-725-3530
Mailing Address - Fax:312-646-4120
Practice Address - Street 1:2215 W MONTROSE AVE APT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-1790
Practice Address - Country:US
Practice Address - Phone:224-725-3530
Practice Address - Fax:312-646-4120
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7263133V00000X
IL164007167133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered