Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bianca Roe, OTD, OTR/L, RDN, CLC

Individual provider Registered Dietitian · NPI 1639553142

Dr. Bianca Roe, OTD, OTR/L, RDN, CLC is a Registered Dietitian in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
3
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

3709 N Kedzie Ave
Chicago, IL 60618-4503
Phone: (773) 377-5492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 056013712 (IL)
Registered Dietitian Taxonomy 133V00000X · Licence 164.008119 (IL)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence 332074

Record details

NPI number1639553142
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L , RDN , CLC
Sole proprietorNo
NPI enumeratedJuly 14, 2015
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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