ANAHID EDJLALI


Address: 790 Remington Blvd, Bolingbrook, IL 60440
Phone: 6302962223

ANAHID EDJLALI (NPI# 1104281948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104281948
Entity Type Individual
Full Name ANAHID EDJLALI
Credential RDN
Practice Address 790 Remington Blvd
Bolingbrook
IL 60440
Mailing Address 17800 Talbot Rd S Ste D
Ste. D
Renton
WA 98055-5740
Practice Telephone 6302962223
Mailing Telephone 4252779096
Enumeration Date 2015-12-21
Last Update Date 2018-05-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
DI60479500 WA Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
15600 Ne 8th St # B1-707, Bellevue, WA 980083927 4258301615

Office Location

Street Address 790 REMINGTON BLVD
City BOLINGBROOK
State IL
Zip Code 60440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629046826 Jason Scott Pequette Specialist/Technologist 790 Remington Blvd, Bolingbrook, IL 60440-4909 2006-03-14
1073163218 Lindsay Elizabeth Thueson Physical Therapist 790 Remington Blvd, Bolingbrook, IL 60440-4909 2019-09-19
1104311802 Brittny E Silke Physical Therapist 790 Remington Blvd, Bolingbrook, IL 60440-4909 2018-06-25
1477047140 Logan Gudde Physical Therapist 790 Remington Blvd, Bolingbrook, IL 60440 2018-06-18
1598281164 Erin Renner Specialist/Technologist 790 Remington Blvd, Bolingbrook, IL 60440-4909 2017-08-16
1356878870 Autum Korosic Specialist/Technologist 790 Remington Blvd, Bolingbrook, IL 60440-4909 2017-05-15
1003351008 Patricia Richardson Specialist/Technologist 790 Remington Blvd, Bolingbrook, IL 60440-4909 2016-12-29
1568911089 Ryan Delcambre Physical Therapist 790 Remington Blvd, Bolingbrook, IL 60440-4909 2016-09-26
1871048553 Chadwick Hadley Physical Therapist 790 Remington Blvd, Bolingbrook, IL 60440-4909 2016-08-23
1053764407 Latifah Teyonna Reid Specialist/Technologist 790 Remington Blvd, Bolingbrook, IL 60440-4909 2016-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275141251 Derick Dermatology, LLC Dermatology 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 2020-07-16
1851949150 Rachel Nicole Weis Student in an Organized Health Care Education/Training Program 777 Falconridge Way, Bolingbrook, IL 60440 2019-08-29
1578072815 Onna Ford-kendrick Nurse Practitioner 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 2017-09-28
1891245213 Megan Lotarski Specialist/Technologist 6 Copper Ct, Bolingbrook, IL 60440 2016-10-10
1144775800 Mitchell Quill Chiropractor 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 2016-08-23
1477914125 Alessia L. Elerby Specialist 128 S Cass Ave, Westmont, IL 60440 2016-03-09
1982073821 Melissa Perkins Counselor 511 Preston Drive, Bolingbrook, IL 60440 2015-09-22
1821467754 Advanced Patient Care, LLC. Pharmacy 335-337 Remington Blvd., Bolingbrook, IL 60440 2015-09-22
1770998262 Adventist Bolingbrook Hospital Internal Medicine 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 2014-06-24
1467864512 Alice II Salons Specialist 311 Quadr,., Bolingbrook, IL 60440 2014-05-23
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497228456 The Angelo Method Tam LLC Dietitian, Registered 5440 N Cumberland Ave Ste 225, Chicago, IL 60656-1531 2019-01-02
1568893535 Jason Caraballo Dietitian, Registered 1002 Monticello Dr, Aurora, IL 60506-5740 2013-12-02
1073847539 Luz Adriana Sancen De Brown Dietitian, Registered 2009 Elm St, Quincy, IL 62301-3233 2009-09-30
1922238989 Siu Mui Carman Cheng Dietitian, Registered 2850 S Michigan Ave, Chicago, IL 60616-5018 2009-07-23
1457506214 Corporate Wellness Inc Dietitian, Registered 2272 W 95th St Ste 305, Naperville, IL 60564-8944 2008-11-20
1629227913 Harriet Shelley Salzberg Dietitian, Registered 276 Chicory Ln, Buffalo Grove, IL 60089-1835 2008-09-11
1053456384 Susan Kagen Podell Dietitian, Registered 560 N Midlothian Rd, Suite 400, Mundelein, IL 60060-1654 2007-02-21
1992299788 Walsh Nutrition Group, Inc. Dietitian, Registered 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 2018-06-15
1639663412 Laura Walsh Dietitian, Registered 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 2018-06-15
1477045763 Andrea Williams Dietitian, Registered 800 E 55th St, Chicago, IL 60615-4906 2018-06-01
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Competitor

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City BOLINGBROOK
Zip Code 60440

Improve Information

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Dataset Information

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.

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