MARISSA GABONA DOMINGO-ZAHIRUDDIN RDN, LDN
NPI 1003684762
Dietitian, Registered in Skokie, IL

Active since December 12, 2023
8112 CRAWFORD AVE, SKOKIE, IL 60076(773) 787-9161 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered

About MARISSA DOMINGO-ZAHIRUDDIN

This page provides the complete NPI Profile along with additional information for Marissa Domingo-zahiruddin, a provider established in Skokie, Illinois with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1003684762 assigned on December 2023. The practitioner's primary taxonomy code is 133V00000X with license number 164008791 (IL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1003684762 Verify this NPI
Provider Name
MARISSA GABONA DOMINGO-ZAHIRUDDIN RDN, LDN
Other Name
MARISSA GABONA DOMINGO RDN, LDN
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
8112 CRAWFORD AVE SKOKIE, IL 60076
Location Phone
(773) 787-9161
Mailing Address
8112 CRAWFORD AVE SKOKIE, IL 60076
Mailing Phone
(773) 787-9161
Is Sole Proprietor?
Yes
Enumeration Date
12-12-2023
Last Update Date
12-12-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
164008791
License State
IL
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003684762, enumerated as an "individual" on December 12, 2023.

The provider is located at 8112 CRAWFORD AVE SKOKIE, IL 60076 and the phone number is (773) 787-9161.

Dietitian, Registered with taxonomy code 133V00000X.