Lori Kelso, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164006617 Issued in IL

Practice address

10450 Algonquin Rd Ste 100a
Huntley, IL 60142-7064

Phone

(815) 334-5566

Fax

(847) 802-7259

NPI assigned

Aug 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Central Dupage Physician Group

  • Family Medicine Physician
  • Carol Stream, IL
  • NPI 1033149844
  NPD
• Central Dupage Physician Group

  • Orthopaedic Surgery Physician
  • Geneva, IL
  • NPI 1780012344
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1013636919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 ALGONQUIN RD STE 100A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427064",
            "telephone_number": "815-334-5566",
            "fax_number": "847-802-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 ALGONQUIN RD STE 100A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427064",
            "telephone_number": "815-334-5566",
            "fax_number": "847-802-7259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Station Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147994",
            "country_code": "US",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 Doty Rd Ste G&h",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987530",
            "country_code": "US",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELSO",
        "first_name": "LORI",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164006617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lori.kelso@nm.org",
            "affiliation": "N",
            "endpointDescription": "business e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "360 Station Dr",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600147978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Kamper, PHARMD
• Kathryn E Karvola, D.C.
• Robert James Kasper, D.O
• Kaye Eyecare of Huntley, LTD.
• Preston Gale Kaye, O.D.
• Faryal Khan, MD
• Fazal Khan, M.D.
• Sarah Khan, M.D.
• Anmol Saba Khattak, M.D.
• Margeret Kiggundu, FNP

• Registered Dietitian in Huntley, IL
• Providers in Huntley, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.