Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Mistretta, RD

Individual provider Registered Dietitian · NPI 1417522012

Samantha Mistretta, RD is a Registered Dietitian in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

1775 Dempster St
Park Ridge, IL 60068-1174
Phone: (847) 723-2210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (IL)

Record details

NPI number1417522012
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMay 25, 2021
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021
Mailing address3413 N Opal Ave, Chicago, IL 60634-3046

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