MRS. BRENDA BEBEN (NPI# 1063918555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063918555 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA BEBEN |
| Credential | RD |
| Practice Address |
45 W 111th St Chicago IL 60628-4200 |
| Mailing Address |
5330 Forest Trl Oak Forest IL 60452-4400 |
| Practice Telephone | 7739953234 |
| Mailing Telephone | 6307684942 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers | ||
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers | ||
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
| Street Address |
45 W 111TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222454 | Carl Vancol | Family Medicine | 45 W 111th St, Suite 304, Chicago, IL 60628-4200 | 2005-08-16 |
| 1740897149 | Healthcare Alternative Systems, Inc. | Clinic/Center | 45 W 111th St, Chicago, IL 60628-4200 | 2020-09-29 |
| 1659988053 | Healthcare Alternative Systems, Inc. | Clinic/Center | 45 W 111th St, Chicago, IL 60628-4200 | 2020-09-29 |
| 1003371717 | Shakira Ayanlaja | Nurse Practitioner | 45 W 111th St, Chicago, IL 60628-4200 | 2019-02-06 |
| 1265997142 | Roseland Community Hospital Association | Dentist | 45 W 111th St, Chicago, IL 60628-4200 | 2019-02-05 |
| 1730687591 | Tranisha Lynette Lucas | Nurse Practitioner | 45 W 111th St, Chicago, IL 60628-4200 | 2018-01-26 |
| 1386152395 | Rjm Wellness Corp | Internal Medicine | 45 W 111th St, Chicago, IL 60628-4200 | 2018-01-12 |
| 1760998280 | Anum Haq | Physician Assistant | 45 W 111th St, Chicago, IL 60628-4200 | 2017-12-20 |
| 1780110346 | Roxanne Spurlark | Nurse Practitioner | 45 W 111th St, Chicago, IL 60628-4200 | 2017-05-02 |
| 1619417979 | Roseland Community Hospital Association | Pharmacy | 45 W 111th St, Chicago, IL 60628-4200 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1447867668 | Daniela Jannette | Dietitian, Registered | 1400 N Lake Shore Dr Apt 11b, Chicago, IL 60610-6637 | 2020-09-30 |
| 1598372252 | Nora P Egan | Dietitian, Registered | 2266 W 109th St, Chicago, IL 60643-3212 | 2020-09-28 |
| 1700490273 | Adriana Chychula | Dietitian, Registered | 2229 W Rice St, Chicago, IL 60622-4858 | 2020-09-02 |
| 1912519703 | Melissa Freeman | Dietitian, Registered | 225 E Chicago Ave # 23, Chicago, IL 60611-2991 | 2020-08-21 |
| 1346859873 | Jessica Mcfadden | Dietitian, Registered | 360 W Hubbard St Apt 3910, Chicago, IL 60654-5730 | 2020-07-30 |
| 1114535143 | Jannette Rho | Dietitian, Registered | 3149 N Springfield Ave Apt 3a, Chicago, IL 60618-6550 | 2020-07-15 |
| 1740807437 | Lisa Schrader | Dietitian, Registered | 2003 W Fulton St Ste 3oo, Chicago, IL 60612-2345 | 2020-06-29 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.