IndividualActive
Nicole Tracy, RD, LDN
NPI 1154448199 · Pediatric Nutrition Registered Dietitian · Naperville, IL
Provider details
- NPI number
- 1154448199
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 164.002997 (IL)
Practice location
1004 Churchill Dr
Naperville, IL 60563-2081
Phone: (630) 776-1766
Fax: (630) 548-5274
Mailing address
1004 Churchill Dr
Naperville, IL 60563-2081
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2011-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.