ANAHID EDJLALI (NPI# 1104281948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
DI60479500 | WA | Dietary & Nutritional Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
15600 Ne 8th St # B1-707, Bellevue, WA 980083927 | 4258301615 |
Street Address |
790 REMINGTON BLVD |
City | BOLINGBROOK |
State | IL |
Zip Code | 60440 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 60440 |
Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | BOLINGBROOK |
Zip Code | 60440 |
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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.