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

Samar Imad Kullab

Individual provider Registered Dietitian · NPI 1699305722

Samar Imad Kullab is a Registered Dietitian in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

331 W Surf St Ste 5100
Chicago, IL 60657-7227
Phone: (630) 986-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164007737 (IL)

Record details

NPI number1699305722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 16, 2020
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address331 W Surf St Ste 5100, Chicago, IL 60657-7227

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