MR. JASON CARABALLO


Address: 1002 Monticello Dr, Aurora, IL 60506-5740
Phone: 6304524532

MR. JASON CARABALLO (NPI# 1568893535) 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) 1568893535
Entity Type Individual
Full Name MR. JASON CARABALLO
Credential RD/LDN
Practice Address 1002 Monticello Dr
Aurora
IL 60506-5740
Practice Telephone 6304524532
Mailing Telephone 6304524532
Enumeration Date 2013-12-02
Last Update Date 2013-12-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
164005934 IL Dietary & Nutritional Service Providers

Office Location

Street Address 1002 MONTICELLO DR
City AURORA
State IL
Zip Code 60506-5740

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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...

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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
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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 AURORA
Zip Code 60506

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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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