Provider Demographics
NPI:1053797977
Name:TURCHEN, KATHLEEN SANDERS (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:SANDERS
Last Name:TURCHEN
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:RUTH
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN, LDN
Mailing Address - Street 1:2551 N CLARK ST STE 400
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7725
Mailing Address - Country:US
Mailing Address - Phone:312-324-4422
Mailing Address - Fax:
Practice Address - Street 1:2551 N CLARK ST STE 400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7725
Practice Address - Country:US
Practice Address - Phone:312-324-4422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.011910133V00000X
RILDN01513133V00000X
KY297582133V00000X
FLND 7419133V00000X
NCL008304133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered