Provider Demographics
NPI:1548977572
Name:SINOPOLI, GRACE (RD)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:SINOPOLI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 ALGONQUIN RD # 1017
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-4104
Mailing Address - Country:US
Mailing Address - Phone:224-764-0847
Mailing Address - Fax:224-938-7425
Practice Address - Street 1:1551 ALGONQUIN RD # 1017
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-4104
Practice Address - Country:US
Practice Address - Phone:224-764-0847
Practice Address - Fax:224-938-7425
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3070133V00000X
IL164007806133V00000X
DCDI200001202133V00000X
MDDX5314133V00000X
AR2563133V00000X
FLND13129133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered