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

SAMARA DERDIGER, RDN

Active Sole Proprietor

SAMARA DERDIGER, RDN is a Registered Dietitian healthcare provider located in LINCOLNSHIRE, Illinois. NPI 1912740390 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · LINCOLNSHIRE, IL

Registration Details

NPI Number
1912740390
Provider Type
Individual
Gender
Female
NPI Issued
Jun 14, 2024 (2.130794051005 yrs)
Last Updated
Jun 14, 2024
Licenses
L007793 (NC)
164009053 (IL)
Sole Proprietor
Yes

Practice Information

Address
20817 N HORATIO BLVD
LINCOLNSHIRE, IL, 600699614
Browse IL providers · Browse ZIP 60069
Phone
8479463289
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in LINCOLNSHIRE, IL

Name Credential NPI
MRS. MARIA BOURNAS RDN,LDN 1508637240
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.