Individual
DANIELLE A RENICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CNSC
Contact information
Practice address
710 N FAIRBANKS CT STE 7-121, CHICAGO, IL 60611-3013
(312) 926-7437
Mailing address
710 N FAIRBANKS CT STE 7-121, CHICAGO, IL 60611-3013
(312) 926-7437
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007451
IL
Other
Enumeration date
04/07/2020
Last updated
08/11/2025
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