ELYSE J BOROSKI (NPI# 1629549704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629549704 |
| Entity Type | Individual |
| Full Name | ELYSE J BOROSKI |
| Other Name | ELYSE J BREUNING |
| Practice Address |
530 Park Ave E Ste 201 Princeton IL 61356-2598 |
| Practice Telephone | 8158764447 |
| Mailing Telephone | 8158764447 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164007562 | IL | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 925 West St, Peru, IL 613542757 | 8152233300 |
| Street Address |
530 PARK AVE E STE 201 |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-2598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467773 | Kraig A Mitchell | Nurse Anesthetist, Certified Registered | 530 Park Ave E Ste 201, Princeton, IL 61356-2598 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| 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 |
|---|---|---|---|---|
| 1639570781 | Princeton Fitness & Wellness | Dietitian, Registered | 1225 State Road, Princeton, NJ 08540 | 2014-09-09 |
| 1942600382 | Barbara Spalding | Dietitian, Registered | 301 N Harrison St Ste 9f, #394, Princeton, NJ 08540-3512 | 2014-09-03 |
| 1407193477 | Veronica Elizabeth Garnett | Dietitian, Registered | 300 Carnegie Ctr Ste 150, Princeton, NJ 08540-6285 | 2013-01-11 |
| 1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
| 1093997124 | Beth Anne Young | Dietitian, Registered | 9 Mercer St, Princeton, NJ 08540-6807 | 2007-11-30 |
| 1477685741 | Stephanie Ann Devine | Dietitian, Registered | 812 State Rd Ste 106, Princeton, NJ 08540-1400 | 2007-03-12 |
| 1427529577 | Ashley Kannenberg | Dietitian, Registered | 530 Park Ave E, Princeton, IL 61356-2598 | 2018-12-16 |
| 1972015550 | Morgan Taubel | Dietitian, Registered | 911 Northland Dr, Princeton, MN 55371-2172 | 2017-11-03 |
| 1114332210 | Kari Weatherholt | Dietitian, Registered | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2014-06-26 |
| 1013250828 | Janel Marie Hemmesch | Dietitian, Registered | 911 Northland Dr, Princeton, MN 55371-2172 | 2013-03-29 |
| Find all providers in PRINCETON | ||||
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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.