Individual provider · Type 1 NPI

Samuel George Tambeaux, RDN, LDN

Registered Dietitian · Michigan City, IN

NPI number 1124672654 Active

Practice location

8865 W 400 N Ste 125
Michigan City, IN 46360-9193

Fax (219) 861-8570

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Other practice locations

  • 20201 Crawford Ave, Olympia Fields, IL 60461-1010 · (708) 679-2120
  • 20201 Crawford Ave, Olympia Fields, IL 60461-1010 · (708) 679-2120
  • 4932 W 95th St, Oak Lawn, IL 60453 · (708) 422-5658

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X164.007751 (IL)
Registered Dietitian Primary 133V00000X37003128A (IN)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1124672654

Samuel George Tambeaux, RDN, LDN's National Provider Identifier is 1124672654, issued on Aug 1, 2019. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Michigan City, IN. The record was last updated on Oct 12, 2021.