MR. MATTHEW MICHAEL LAUCK (NPI# 1124134135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124134135 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW MICHAEL LAUCK |
| Credential | RD |
| Practice Address |
1775 Ballard Rd Park Ridge IL 60068-1005 |
| Mailing Address |
9305 S 50th Ave Oak Lawn IL 60453-2403 |
| Practice Telephone | 8473182729 |
| Mailing Telephone | 7082689457 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | IL | Dietary & Nutritional Service Providers |
| Street Address |
1775 BALLARD RD |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483465 | Nesset Pavilion Pharmacy | Pharmacy | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2005-08-03 |
| 1235758418 | Benjamin David Catt | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-08 |
| 1245869718 | Christopher Haansehm Kang | Student in an Organized Health Care Education/Training Program | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-06 |
| 1992334577 | Emily Rose Temple-wood | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-05 |
| 1851920557 | Ryan Edwards | Student in an Organized Health Care Education/Training Program | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-04 |
| 1790314805 | Kishan Patel | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1225667256 | Thomas Schmittdiel | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1730718719 | Laith Yasin | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1740819747 | Misbah Razvi | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1962030254 | Sasirekha Pandravada | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1881783033 | Sue F Rose | Dietitian, Registered | 1580 N Northwest Hwy Ste 228-b, Park Ridge, IL 60068-1444 | 2006-10-12 |
| 1194376244 | Allison Parker Koch | Dietitian, Registered | 826 W Touhy Ave, Park Ridge, IL 60068-3352 | 2019-09-20 |
| 1356885412 | Alicia Huggler | Dietitian, Registered | 826 W Touhy Ave, Park Ridge, IL 60068-3352 | 2016-12-08 |
| 1104290683 | Elizabeth Dejulius | Dietitian, Registered | 826 W Touhy Ave, Park Ridge, IL 60068 | 2015-11-19 |
| 1790168805 | Katherine M Weber | Dietitian, Registered | 1775 Ballard Road, Park Ridge, IL 60068 | 2015-07-07 |
| 1932511318 | Robin Schmitt | Dietitian, Registered | 1875 Dempster St, Suite 555, Park Ridge, IL 60068-1186 | 2014-05-20 |
| 1912326315 | Kristyn Lynn | Dietitian, Registered | 1775 Dempster St, Gs13 Dietitians Office, Park Ridge, IL 60068 | 2014-04-14 |
| 1396063889 | Talia Ann Hauser | Dietitian, Registered | 1775 Dempster St, Advocate Lutheran General Hospital, Park Ridge, IL 60068 | 2010-05-10 |
| 1932331360 | Jennifer Klotz | Dietitian, Registered | 15 N Prospect Ave, Park Ridge, IL 60068-3563 | 2009-08-18 |
| 1801040118 | Carrie Ann Ek | Dietitian, Registered | 1775 W Dempster St, Advocate Lutheran General Hospital-food and Nutrition, Park Ridge, IL 60068-1143 | 2008-11-13 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.