IndividualActive
Julie Mota, MS, RD, LD
NPI 1144620261 · Pediatric Nutrition Registered Dietitian · La Grange, IL
Provider details
- NPI number
- 1144620261
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 164.001268 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
728 S Madison Ave
La Grange, IL 60525-2805
Phone: (708) 945-0368
Approximate (ZIP-level) locationGet directions
Mailing address
728 S Madison Ave
La Grange, IL 60525-2805
Registry dates
- Enumerated
- 2014-08-26
- Last updated
- 2016-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.