LAURA WALSH (NPI# 1639663412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639663412 |
| Entity Type | Individual |
| Full Name | LAURA WALSH |
| Credential | LDN, RDN, CPT |
| Practice Address |
1333 Burr Ridge Pkwy Ste 200 Burr Ridge IL 60527-0833 |
| Mailing Address |
808 S Ashland Ave La Grange IL 60525-2817 |
| Practice Telephone | 6303088706 |
| Mailing Telephone | 6303088706 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
164002859 | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL DEPARTMENT OF PROFESSIONAL REGULATION | 164002859 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364139 | Laura Walsh | Student in an Organized Health Care Education/Training Program | 5801 Smith Ave Bldg Suite210, Baltimore, MD 21209-3652 | 2020-04-12 |
| 1689960585 | Laura Michele Walsh | Dentist | 6370 Som Center Rd Ste 100, Solon, OH 44139-2991 | 2011-06-20 |
| 1144353590 | Laura Ann Walsh | Licensed Practical Nurse | 66 Highledge Dr, Penfield, NY 14526-2406 | 2007-03-14 |
| 1164039285 | Laura M Walsh | Marriage & Family Therapist | 20575 Center Ridge Rd Ste 318, Rocky River, OH 44116-3422 | 2020-09-24 |
| 1205477890 | Laura B Walsh | Counselor | 3090 Vineville Ave, Macon, GA 31204-2406 | 2019-10-04 |
| 1043715006 | Laura Walsh | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2018-03-29 |
| 1205334166 | Laura Walsh | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2018-01-25 |
| 1770970907 | Laura Walsh | Physical Therapy Assistant | 230 W Galbraith Rd, Cincinnati, OH 45215-5223 | 2015-04-27 |
| 1790173193 | Laura Walsh | Nurse Anesthetist, Certified Registered | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2015-01-07 |
| 1861780280 | Laura Anne Walsh | Registered Nurse | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2011-07-19 |
| Street Address |
1333 BURR RIDGE PKWY STE 200 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-0833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851361885 | Candice Sue Anderson | Family Medicine | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527 | 2006-01-24 |
| 1720609944 | Alison Spillers | Counselor | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2020-04-28 |
| 1629605712 | Venvisor Health Illinois LLC | Nurse Practitioner | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2020-03-26 |
| 1902367758 | Saba Montazerian | Marriage & Family Therapist | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2019-03-26 |
| 1992299788 | Walsh Nutrition Group, Inc. | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| 1073007837 | Sarah A Matlin | Counselor | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527 | 2018-06-15 |
| 1386134898 | Veteran Innovation LLC | Psychologist | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-05-10 |
| 1699277277 | Brookside Clinical Services | Community/Behavioral Health | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-02-28 |
| 1205280674 | Magdalena Daoud | Nurse Practitioner | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2016-04-21 |
| 1902227556 | Mark Joseph Gorzkowski | Counselor | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2013-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299788 | Walsh Nutrition Group, Inc. | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228456 | The Angelo Method Tam LLC | Dietitian, Registered | 5440 N Cumberland Ave Ste 225, Chicago, IL 60656-1531 | 2019-01-02 |
| 1568893535 | Jason Caraballo | Dietitian, Registered | 1002 Monticello Dr, Aurora, IL 60506-5740 | 2013-12-02 |
| 1073847539 | Luz Adriana Sancen De Brown | Dietitian, Registered | 2009 Elm St, Quincy, IL 62301-3233 | 2009-09-30 |
| 1922238989 | Siu Mui Carman Cheng | Dietitian, Registered | 2850 S Michigan Ave, Chicago, IL 60616-5018 | 2009-07-23 |
| 1457506214 | Corporate Wellness Inc | Dietitian, Registered | 2272 W 95th St Ste 305, Naperville, IL 60564-8944 | 2008-11-20 |
| 1629227913 | Harriet Shelley Salzberg | Dietitian, Registered | 276 Chicory Ln, Buffalo Grove, IL 60089-1835 | 2008-09-11 |
| 1053456384 | Susan Kagen Podell | Dietitian, Registered | 560 N Midlothian Rd, Suite 400, Mundelein, IL 60060-1654 | 2007-02-21 |
| 1477045763 | Andrea Williams | Dietitian, Registered | 800 E 55th St, Chicago, IL 60615-4906 | 2018-06-01 |
| 1114425618 | Neda Khudeira | Dietitian, Registered | 8071 S Cicero Ave, Chicago, IL 60652-2003 | 2018-01-30 |
| 1104281948 | Anahid Edjlali | Dietitian, Registered | 790 Remington Blvd, Bolingbrook, IL 60440 | 2015-12-21 |
| Find all providers with the same taxonomy | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
Please comment or provide details below to improve the information on LAURA WALSH.
| 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.