Boguslawa L Susol, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1900 E Golf Rd Ste 950H
Schaumburg, IL 60173-5834

Phone

(872) 395-6294

NPI assigned

Jan 28, 2019

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

Enrolled in IL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• BLS Nutrition Consulting LLC

  • Registered Dietitian
  • Schaumburg, IL
  • NPI 1043871569

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1043774631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 KIMBERLY RD",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600102149",
            "telephone_number": "847-239-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E GOLF RD STE 950H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735834",
            "telephone_number": "872-395-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSOL",
        "first_name": "BOGUSLAWA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Sundstrom, LPC
• Geetha Sunny
• Superior Pharmacy Solutions, Inc.
• Zara Surani, NP
• Rajesh P Surkar, OT
• Marine Sutrisno, OTR/L
• Ronald J Svoboda, D.D.S
• Donald Swager
• Jeffrey Scott Swager, D.D.S.
• Shariffer K Swain

• Registered Dietitian in Schaumburg, IL
• Providers in Schaumburg, 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 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.