Active NPI
BLS Nutrition Consulting LLC
- Registered Dietitian
- Schaumburg, IL
National Provider Identifier
1043871569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- BLS NUTRITION CONSULTING LLC
- Practice address
- 1900 E Golf Rd Ste 950-H
Schaumburg, IL 60173-5834 - Phone
- (872) 395-6294
- NPI assigned
- Jun 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Boguslawa Susol
- Title
- Rd and Owner
- Phone
- (847) 239-0019
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1900 E Golf Rd Ste 950-H
Schaumburg, IL 60173-5834
Mailing address
1900 E Golf Rd Ste 950-H
Schaumburg, IL 60173-5834
Phone (847) 239-0019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1900 E Golf Rd
Ste 950H
Schaumburg, IL 60173
Phone (872) 395-6294
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645056000000",
"number": "1043871569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 E GOLF RD STE 950-H",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735834",
"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 950-H",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735834",
"telephone_number": "872-395-6294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLS NUTRITION CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-25",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "SUSOL",
"authorized_official_first_name": "BOGUSLAWA",
"authorized_official_title_or_position": "RD AND OWNER",
"authorized_official_telephone_number": "847-239-0019"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.