Ray, Jamie

Ray, Jamie is an individual health care provider with primary practice located at 840 S Wood St Fl 12 , Chicago IL 60612-4325. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. Ray, Jamie can be contacted via phone (312) 996-9283.

Contact Information

Primary practice address
840 S Wood St Fl 12 Chicago IL 60612-4325
Phone: (312) 996-9283
Fax: (312) 355-0732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 164006949 Illinois
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 164006949 Illinois

Profile Details

NPI number 1104417294
LBN Legal business name Ray, Jamie
Credentials RD, LDN, CNSC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2021
Last updated Feb 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104417294 NPPES
Illinois Other 164006949 DIETITIAN LICENSURE NUMBER

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