Provider Demographics
NPI:1174300842
Name:PIHERA, BAILEY CATHERINE (RDN, CPT)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:CATHERINE
Last Name:PIHERA
Suffix:
Gender:F
Credentials:RDN, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:0N159 HOLLAND LN
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4419
Mailing Address - Country:US
Mailing Address - Phone:331-431-9704
Mailing Address - Fax:
Practice Address - Street 1:1605 W WILSON ST STE 120
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-3286
Practice Address - Country:US
Practice Address - Phone:331-431-9704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered