ROBIN DIAZ-GRADY (NPI# 1558472209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558472209 |
| Entity Type | Individual |
| Full Name | ROBIN DIAZ-GRADY |
| Credential | RD, CSR, LDN |
| Practice Address |
3650 W 95th St Evergreen Park IL 60805-2108 |
| Mailing Address |
908 S Washington St Lockport IL 60441-3441 |
| Practice Telephone | 7084227715 |
| Practice Fax Number | 7084227816 |
| Mailing Telephone | 8154056515 |
| Mailing Fax Number | 8158380698 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
IL | Dietary & Nutritional Service Providers |
| Street Address |
3650 W 95TH ST |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508899105 | Demetrios Zikos | Internal Medicine | 3650 W 95th St, Evergreen Park, IL 60805-2108 | 2006-07-08 |
| 1124215264 | Kunjumol Pullathra Velayudhan | Nurse Practitioner | 3650 W 95th St, Evergreen Park, IL 60805-2108 | 2007-10-03 |
| 1134144504 | Joseph H Oyama | Internal Medicine | 3650 W 95th St, Evergreen Park, IL 60805-2108 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043841703 | Fig Nutrition LLC | Dietitian, Registered | 4107 N Damen Ave Apt 37, Chicago, IL 60618-3258 | 2020-01-31 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1003259540 | Bogumila W Czaplinski | Dietitian, Registered | 2953 Central St Fl 1, Evanston, IL 60201-1245 | 2013-04-15 |
| 1972802544 | Sara Conte Martin | Dietitian, Registered | 2736 N Hampden Ct, 208, Chicago, IL 60614-1649 | 2011-03-22 |
| 1689984460 | Karen Christine Behnke | Dietitian, Registered | 921 Britta Ln, Geneva, IL 60134-3404 | 2010-10-14 |
| 1932349719 | Cheryl Ann Williams | Dietitian, Registered | 404 Appleton Dr, Vernon Hills, IL 60061-1712 | 2009-03-06 |
| 1265687735 | Monique Robertson Spencer | Dietitian, Registered | 1526 Manchester Dr, Shiloh, IL 62269-7278 | 2008-11-24 |
| 1730185885 | Susan Lynne Coopersmith | Dietitian, Registered | 7301 N Lincoln Ave, Suite 205, Lincolnwood, IL 60712-1709 | 2005-06-23 |
| 1649781725 | Bonita L Malinowski | Dietitian, Registered | 500 W Court St, Kankakee, IL 60901-3661 | 2017-10-17 |
| City | EVERGREEN PARK |
| Zip Code | 60805 |
Please comment or provide details below to improve the information on ROBIN DIAZ-GRADY.
| 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.