KAITLYN EISENBERG (NPI# 1588168934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588168934 |
Entity Type | Individual |
Full Name | KAITLYN EISENBERG |
Credential | RDN, LDN |
Practice Address |
326 W 64th St Chicago IL 60621-3114 |
Mailing Address |
8730 176th St Tinley Park IL 60487-8443 |
Practice Telephone | 7739624201 |
Enumeration Date | 2018-03-21 |
Last Update Date | 2018-03-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 164007196 | IL | Dietary & Nutritional Service Providers |
Street Address |
326 W 64TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60621-3114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992704381 | James Edward Beckett | Family Medicine | 326 W 64th St, St Bernard Hospital Dept Radiology, Chicago, IL 60621-3114 | 2005-07-18 |
1588262422 | Hailee Goodale | Dietitian, Registered | 326 W 64th St, Chicago, IL 60621-3146 | 2020-10-13 |
1619575560 | Iveta Janusauskaite | Dietitian, Registered | 326 W 64th St, Chicago, IL 60621-3114 | 2020-10-13 |
1649838004 | St Bernard Hospital & Health Care Center | Radiology | 326 W 64th St, Chicago, IL 60621-3114 | 2019-05-31 |
1144887738 | Chindika Healthcare Inc. | Internal Medicine | 326 W 64th St, Chicago, IL 60621-3114 | 2019-05-20 |
1467922005 | St Bernard Hospital & Health Care Center | Pathology | 326 W 64th St, Chicago, IL 60621-3114 | 2018-11-27 |
1366934176 | Sunil Sam | Nurse Practitioner | 326 W 64th St, Chicago, IL 60621-3114 | 2018-06-06 |
1073003463 | Jessica Lynn Frith | Nurse Practitioner | 326 W 64th St, Chicago, IL 60621-3146 | 2018-05-11 |
1538675699 | Dominique Yvette Murry | Nurse Practitioner | 326 W 64th St, Chicago, IL 60621-3114 | 2017-12-27 |
1134663891 | Family Guidance Centers, Inc. | Clinic/Center | 326 W 64th St, Suite 305, Chicago, IL 60621-3114 | 2016-12-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
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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 |
---|---|---|---|---|
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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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.