IndividualActive
Diane Dadivas, RD
NPI 1790090033 · Pediatric Nutrition Registered Dietitian · Niles, IL
Provider details
- NPI number
- 1790090033
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 164.005298 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
8439 N Clifton Ave
Niles, IL 60714-1803
Phone: (281) 901-8481
Fax: (833) 271-4447
Approximate (ZIP-level) locationGet directions
Mailing address
8439 N Clifton Ave
Niles, IL 60714-1803
Registry dates
- Enumerated
- 2010-08-11
- Last updated
- 2020-06-12
- Certified
- 2020-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.