Provider Demographics
NPI:1356468037
Name:WERNER, EMILY (RD, LDN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WERNER
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 1:211 E CHICAGO AVE
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2661
Mailing Address - Country:US
Mailing Address - Phone:312-944-6677
Mailing Address - Fax:312-944-3346
Practice Address - Street 1:211 E CHICAGO AVE
Practice Address - Street 2:SUITE 1050
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2661
Practice Address - Country:US
Practice Address - Phone:312-944-6677
Practice Address - Fax:312-944-3346
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2537133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric