Kelly Kruszewski, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.007293 Issued in IL

Practice address

1201 N la Salle Dr Apt 3212
Chicago, IL 60610-3056

Phone

(314) 750-6474

NPI assigned

Feb 18, 2018

Last updated

Feb 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518912000000",
    "number": "1033619820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N LA SALLE DR APT 3212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103056",
            "telephone_number": "314-750-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N LA SALLE DR APT 3212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103056",
            "telephone_number": "314-750-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSZEWSKI",
        "first_name": "KELLY",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.007293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Stephen Kruse, DPM
• Camden Krusec, LCSW
• Sara T Krusenoski
• Lafonte' Cherie Krushall, DMD
• Mykhaylo D Krushelnytskyy
• Petra Krutilova, MD
• Amy T. Krutky, PSY.D.
• Sowmya Kruttiventi, MD
• Lenglily Kruy, PHARM D.
• Jessica Rae Kruzan, RDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2018; 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.