Provider Demographics
NPI:1770064438
Name:KLINGER, SYLVIA ENID (DBA, MS, RDN)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:ENID
Last Name:KLINGER
Suffix:
Gender:F
Credentials:DBA, MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 N QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3054
Mailing Address - Country:US
Mailing Address - Phone:630-930-7963
Mailing Address - Fax:
Practice Address - Street 1:338 N QUINCY ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3054
Practice Address - Country:US
Practice Address - Phone:630-930-7963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164002149133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education