DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENNA WALLACE, MS, RDN, LDN

Active Sole Proprietor

BRENNA WALLACE, MS, RDN, LDN is a Registered Dietitian healthcare provider located in CHICAGO, Illinois. NPI 1548822778 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · CHICAGO, IL

Registration Details

NPI Number
1548822778
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2019 (7.089458236435 yrs)
Last Updated
Jul 9, 2019
License
164.007764 (IL)
Sole Proprietor
Yes

Practice Information

Address
1339 N DEARBORN ST APT 3A
CHICAGO, IL, 606106014
Browse IL providers · Browse ZIP 60610
Phone
7349686185
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in CHICAGO, IL

Name Credential NPI
MRS. DANIELLE ANNE GENENZ MS, RD, LDN, CPT 1356349419
MRS. VINAY KUMARI GARG 1609861848
MRS. MARY THERESE MASLANKA R.D., L.D.N. 1285616326
MR. JUSTIN I WASHINGTON RD 1336105618
AMY S. MARGULIES R.D,, C.D.E,, L,D.N. 1225082290
ALEXANDRA MIKOSZ RD,LDN 1194763730
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.