JENNIFER BROTHERTON


Address: 1525 W Homer St, Suite 101, Chicago, IL 60642-1280
Phone: 8887857370

JENNIFER BROTHERTON (NPI# 1477939106) 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) 1477939106
Entity Type Individual
Full Name JENNIFER BROTHERTON
Practice Address 1525 W Homer St
Suite 101
Chicago
IL 60642-1280
Mailing Address 1047 Cantebury Cir
Imperial
MO 63052-2365
Practice Telephone 8887857370
Mailing Telephone 3148003715
Enumeration Date 2015-08-04
Last Update Date 2015-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 2015026990 MO Dietary & Nutritional Service Providers

Office Location

Street Address 1525 W HOMER ST
SUITE 101
City CHICAGO
State IL
Zip Code 60642-1280

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629015904 A D Medical Supply, Inc. Dietitian, Registered 1525 W Homer St, Ste 101, Chicago, IL 60642-1280 2006-06-02
1942736848 Ellen Darnall Dietitian, Registered 1525 W Homer St, Suite 101, Chicago, IL 60642-1280 2017-05-11
1164826715 Jennifer Raniszeski Dietitian, Registered 1525 W Homer St, Suite 101, Chicago, IL 60642-1280 2014-10-10
1063647329 Chicagoland Ad Medical Inc Durable Medical Equipment & Medical Supplies 1525 W Homer St, #301, Chicago, IL 60642-1280 2009-05-15
1841433521 Linda Sampram Dietitian, Registered 1525 W Homer St, Suite 301, Chicago, IL 60642-1280 2009-04-11
1659518025 Nina C Milunas Dietitian, Registered 1525 W Homer St, Chicago, IL 60642-1280 2009-01-07
1043469554 Maria Cristina Villasenor Espera Dietitian, Registered 1525 W Homer St, Suite 301, Chicago, IL 60642-1280 2008-09-09
1447363171 Jaime E Finn Dietitian, Registered 1525 W Homer St, Ste #301, Chicago, IL 60622-1280 2006-08-16
1558374652 Georgia Blaha Dietitian, Registered 1525 W Homer St, Ste 301, Chicago, IL 60622-1280 2006-08-14
1316950405 James Prusha Dietitian, Registered 1525 W Homer St, # 101, Chicago, IL 60642-1280 2006-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134612542 Lauren Gregorcy Social Worker 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 2018-06-11
1811409030 Athletico Ltd Physical Therapist 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 2017-10-27
1346759693 Rachel Sherron Counselor 938 N Elston, #1, Chicago, IL 60642 2017-09-28
1639612831 Empathic Resonance, LLC Clinic/Center 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 2016-11-21
1053867317 D Jamieson Brady Dentist 1249 N Greenview Ave Apt 1, Chicago, IL 60642 2016-08-28
1548646508 Kathryn Lee Massage Therapist 742 N Ada St, Unit 1, Chicago, IL 60642 2015-07-31
1497149694 Neda Bahrani Family Medicine 1460 N Halsted St Ste 401, Chicago, IL 60642 2015-03-25
1326439431 Sarah Perez Counselor 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 2015-02-11
1780097105 Michael Sotiriou Dermatology 1765 N Elston Ave Ste 110, Chicago, IL 60642 2014-06-03
1285067876 Tyler Pere Choate Speech-Language Pathologist 400 N. May Street, Chicago, IL 60642 2013-08-19
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60642

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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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