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Contact Information

ILLINOIS DIETITIANS LLC
715 LAKE ST STE 220
OAK PARK, IL60301-1411
 Phone: 708-285-1347
 Fax: 708-356-6611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for ILLINOIS DIETITIANS LLC

NPI Number 1710241872
LBN Legal business name ILLINOIS DIETITIANS LLC
Authorized official EILEEN MCCARTHY - (REGISTERED DIETITIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2012
Last updated 10/21/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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