Individual provider Active NPI

Bogumila W Czaplinski, RD

  • Renal Nutrition Registered Dietitian
  • Evanston, IL
National Provider Identifier
1003259540
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
164001117 Issued in IL
Practice address
2953 Central St FL 1
Evanston, IL 60201-1245
Phone
(847) 869-9436
Fax
(847) 869-9491
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 164001117 IL Primary

Addresses

Primary practice location

2953 Central St FL 1
Evanston, IL 60201-1245

Mailing address

2953 Central St FL 1
Evanston, IL 60201-1245
Phone (847) 869-9436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
164001117ILMDRenal Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Consultants in Nephrology & Hypertension, SC Past Accepting new patients
Dialysis Centers of America - Illinois, Inc. PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1003259540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 CENTRAL ST FL 1",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011245",
            "telephone_number": "847-869-9436",
            "fax_number": "847-869-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 CENTRAL ST FL 1",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011245",
            "telephone_number": "847-869-9436",
            "fax_number": "847-869-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAPLINSKI",
        "first_name": "BOGUMILA",
        "middle_name": "W",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IL",
            "license": "164001117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.