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KELLY WYCKOFF MS, RD, LDN, CNSD
NPI 1306080254
Dietitian, Registered in Chicago, IL

Active since April 22, 2009
1700 W VAN BUREN ST, SUITE 425 TOB, CHICAGO, IL 60612(312) 942-5926(312) 942-5203 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Wyckoff Ms, Rd, Ldn, Cnsd NPPES

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

KELLY WYCKOFF MS, RD, LDN, CNSD (NPI 1306080254) is an individual dietitian, registered in Chicago, Illinois, licensed in Illinois (164004402) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1306080254
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKELLY WYCKOFFCredential: MS, RD, LDN, CNSD
Location Address1700 W VAN BUREN ST, SUITE 425 TOBChicago, IL 60612-5500
Mailing Address1700 W Van Buren St, Suite 425 TobChicago, IL 60612-5500 · (312) 942-5926 · Fax (312) 942-5203
Phone(312) 942-5926
Fax(312) 942-5203
Sole ProprietorNo
Enumeration DateApril 22, 2009
✔ NPI 1306080254 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 IL · 164004402
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.
1700 W VAN BUREN ST, Chicago, IL 60612
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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.

ANN GOH M.D.
Hospitalist
1700 W VAN BUREN ST, SUITE 500
CHICAGO, IL 60612
Cook County (312) 563-2875
STEPHANIE LYNN CRANE M.D.
Internal Medicine
1700 W VAN BUREN ST, SUITE 500
CHICAGO, IL 60612
Cook County (312) 563-2875
RUPEL DEDHIA M.D.
Internal Medicine
1700 W VAN BUREN ST, 5TH FLOOR
CHICAGO, IL 60612
Cook County (312) 563-2875
CATHERINE DIMOU M.D.
Hospitalist
1700 W VAN BUREN ST, SUITE 500
CHICAGO, IL 60612
Cook County (312) 563-2875
DANIEL ALLEN OKAMOTO M.D.
Internal Medicine
1700 W VAN BUREN ST, SUITE 500
CHICAGO, IL 60612
Cook County (312) 942-4200
GINA KRING M.D.
Family Medicine
1700 W VAN BUREN ST, SUITE 470
CHICAGO, IL 60612
Cook County (312) 942-0400
CYNTHIA LOUIE M.D.
Internal Medicine
1700 W VAN BUREN ST, SUITE 500
CHICAGO, IL 60612
Cook County (312) 563-2875
DR. USAMA ZIA AHMAD M.D.
Internal Medicine
1700 W VAN BUREN ST, SUITE 500
CHICAGO, IL 60612
Cook County (312) 563-2875

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 Kelly Wyckoff's NPI number?

The NPI number for Kelly Wyckoff is 1306080254. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Kelly Wyckoff located?

Kelly Wyckoff practices at 1700 W Van Buren St Suite 425 Tob, Chicago, IL 60612. The listed phone number is (312) 942-5926.

What is Kelly Wyckoff'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 Kelly Wyckoff was last updated on April 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.