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

Individual provider Registered Dietitian · NPI 1437491644

Theodis Ingram Jr., REGISTEREDDIETITIAN is a Registered Dietitian in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
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Practice location Address checks out

6 E Monroe St #603
Chicago, IL 60603-2704
Phone: (312) 208-1233
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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 164.004677 (IL)

Record details

NPI number1437491644
Entity typeIndividual (Type 1)
GenderMale
Credentials REGISTEREDDIETITIAN
Sole proprietorYes
NPI enumeratedMarch 26, 2013
Last updated in NPPESMarch 26, 2013

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