Provider Demographics
NPI:1033084587
Name:MISCH, JULIA (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MISCH
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24463 S DUPAGE DR
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-9332
Mailing Address - Country:US
Mailing Address - Phone:630-981-1266
Mailing Address - Fax:
Practice Address - Street 1:24463 S DUPAGE DR
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-9332
Practice Address - Country:US
Practice Address - Phone:630-981-1266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164007475133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered