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ILLINOIS DIETITIANS LLC NPI 1487085791


NPI Information

NPI: 1487085791
Provider Name: ILLINOIS DIETITIANS, LLC

Other Name: MIDWEST DIETITIANS

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
2844 MIZPAH PARK DR
BENTON HARBOR, MI
ZIP 49022
Phone: (708) 285-1347
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ILLINOIS DIETITIANS, LLC is a dietitian registered in Benton Harbor, MI. The provider is 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. ILLINOIS DIETITIANS, LLC NPI is 1487085791. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Midwest Dietitians.

The provider's business location address is:

2844 MIZPAH PARK DR
BENTON HARBOR, MI
ZIP 49022-530
Phone: (708) 285-1347

The provider's authorized official is Eileen Hourihan Mccarthy .
The authorized official title is Owner and has the following contact phone number (708) 285-1347.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 12/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered164.004823ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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