Provider Demographics
NPI:1770381014
Name:DIGRAZIA, SARA CHRISTINE (MS, RDN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:CHRISTINE
Last Name:DIGRAZIA
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7956 W BORDEAUX DR
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:IL
Mailing Address - Zip Code:61021-9568
Mailing Address - Country:US
Mailing Address - Phone:815-994-8119
Mailing Address - Fax:
Practice Address - Street 1:7956 W BORDEAUX DR
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:IL
Practice Address - Zip Code:61021-9568
Practice Address - Country:US
Practice Address - Phone:815-994-8119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL86342616133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered