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MARISELA GOMEZ RAFFO RDN
NPI 1205532280
Dietitian, Registered in Chicago, IL

Active since February 01, 2023
2045 W GRAND AVE STE B, CHICAGO, IL 60612(888) 200-5492 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2025, Nov 14, 2024, Aug 26, 2023 and 1 more (4 updates tracked since 2023).

About Marisela Gomez Raffo Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISELA GOMEZ RAFFO RDN (NPI 1205532280) is an individual dietitian, registered in Chicago, Illinois, licensed in Kentucky (283075) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1205532280
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARISELA GOMEZ RAFFOCredential: RDN
Location Address2045 W GRAND AVE STE BChicago, IL 60612-1577
Mailing Address105 Sail Maker LnRichmond Hill, GA 31324-7402 · (954) 980-5455
Phone(888) 200-5492
Sole ProprietorYes
Enumeration DateFebruary 1, 2023
Last NPPES UpdateJune 28, 20254 updates tracked since enumeration
NPPES CertifiedJune 28, 2025
✔ NPI 1205532280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in KY · 283075
Definition
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.
2045 W GRAND AVE STE B, Chicago, IL 60612
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Other Names 1

Former Name (1)Marisela Belen Gomez Bayolo

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APRIL STEWART STOWERS FNP-C
Nurse Practitioner (Family)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Cook County (708) 630-1534
KIRSTY MACPHERSON
Counselor (Professional)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Cook County (630) 881-7904
MECKELL MILBURN NBC-HWC
Health and Wellness Coach
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Cook County (888) 200-5492
JENNIFER LEANN GREEN PA-C
Physician Assistant (Medical)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Cook County (708) 630-1534
JILL F PAGANO
Health and Wellness Coach
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Cook County (800) 827-7437
SAMANTHA ANNITZA LAZAR RD
Dietitian, Registered
2045 W GRAND AVE STE B, PMB 37767
CHICAGO, IL 60612
Cook County (800) 827-7437
MRS. LINDA GEORGETTE BOULWARE APRN
Nurse Practitioner (Family)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Cook County (888) 660-4425
SOPHBRIA WELLNESS AND BEHAVIORAL HEALTH PLLC
Nurse Practitioner (Psychiatric/Mental Health)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Cook County (773) 430-0686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisela Gomez Raffo's NPI number?

The NPI number for Marisela Gomez Raffo is 1205532280. It was assigned to this individual provider in the NPPES registry on February 1, 2023. The provider is also known as Marisela Belen Gomez Bayolo.

Where is Marisela Gomez Raffo located?

Marisela Gomez Raffo practices at 2045 W Grand Ave Ste B, Chicago, IL 60612. The listed phone number is (888) 200-5492.

What is Marisela Gomez Raffo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Marisela Gomez Raffo was last updated on June 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.