Active NPI
Jennifer Marie Spilotro, M.S., R.D., L.D.N.
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1043458938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164004632
- Practice address
- 5061 N Pulaski Rd
Chicago, IL 60630-2706 - Phone
- (773) 539-8181
- Fax
- (773) 539-0039
- NPI assigned
- Jan 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 164004632 | IL | |
| Registered Dietitian | 133V00000X | 164004632 | IL | Primary |
| Research Clinic/Center | 261QR1100X | 164004632 | IL | |
| Psychiatric Hospital | 283Q00000X | 164004632 | IL | |
| Assisted Living Facility | 310400000X | 164004632 | IL | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 164004632 | IL |
Addresses
Primary practice location
5061 N Pulaski Rd
Chicago, IL 60630-2706
Mailing address
2610 N Orchard St
#B
Chicago, IL 60614-7156
Phone (847) 373-7891
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164004632 | IL | MD | Psychiatric Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1043458938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 N ORCHARD ST",
"address_2": "#B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147156",
"telephone_number": "847-373-7891",
"fax_number": "773-539-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5061 N PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302706",
"telephone_number": "773-539-8181",
"fax_number": "773-539-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILOTRO",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "M.S., R.D., L.D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "164004632",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164004632",
"primary": true
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": "IL",
"license": "164004632",
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "IL",
"license": "164004632",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "IL",
"license": "164004632",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IL",
"license": "164004632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.