Provider Demographics
NPI:1427241884
Name:LOWKIS, PAULINA (RD, LDN)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:LOWKIS
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:PAULINA
Other - Middle Name:
Other - Last Name:PACZOCHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:3040 W SALT CREEK LN
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1069
Mailing Address - Country:US
Mailing Address - Phone:847-385-7334
Mailing Address - Fax:847-483-7043
Practice Address - Street 1:1415 W LAKE ST
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-1870
Practice Address - Country:US
Practice Address - Phone:847-472-2145
Practice Address - Fax:847-981-5765
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered