Individual provider · Type 1 NPI

Diane Martinez Dadivas, RD

Pediatric Nutrition Registered Dietitian · Niles, IL

NPI number 1790090033 Active

Practice location

8439 N Clifton Ave
Niles, IL 60714-1803

Fax (833) 271-4447

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X164.005298 (IL)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

About NPI 1790090033

Diane Martinez Dadivas, RD's National Provider Identifier is 1790090033, issued on Aug 11, 2010. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Niles, IL. The record was last updated on Jun 12, 2020.