IndividualActive
Tracey Cicirale, RD,LDN
NPI 1851417273 · Pediatric Nutrition Registered Dietitian · Lockport, IL
Provider details
- NPI number
- 1851417273
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD,LDN
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
16609 Blackfoot Dr
Lockport, IL 60441-1501
Phone: (815) 588-4016
Fax: (815) 588-4016
Approximate (ZIP-level) locationGet directions
Mailing address
16609 Blackfoot Dr
Lockport, IL 60441-1501
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2015-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.