Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULIE ANN MOTA, MS, RD, LD
Active Sole ProprietorPediatric Nutrition · LA GRANGE, IL
Registration Details
- NPI Number
- 1144620261
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2014 (11.65491394871 yrs)
- Last Updated
- Jun 30, 2016
- License
-
164.001268 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
728 S MADISON AVELA GRANGE, IL, 605252805Browse IL providers · Browse ZIP 60525
- Phone
- 7089450368
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.