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

Individual provider Registered Dietitian · NPI 1750115358

Stephanie Grace Secontine, REGISTEREDDIETITIAN is a Registered Dietitian in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois, Tennessee and Texas.

Licensed in
IL, TN, TX
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

30 E Adams St Apt 611
Chicago, IL 60603-5644
Phone: (248) 505-1976
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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 164.008397 (IL)
Registered Dietitian Taxonomy 133V00000X · Licence DT90501 (TX)
Registered Dietitian Taxonomy 133V00000X · Licence 4968 (TN)

Record details

NPI number1750115358
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDDIETITIAN
Sole proprietorYes
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

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