Elizabeth Dejulius, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164007673 Issued in IL

Practice address

826 W Touhy Ave
Park Ridge, IL 60068

Phone

(847) 825-0770

Fax

(312) 648-0155

NPI assigned

Nov 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fitness Formula, LTD

  • Registered Dietitian
  • Chicago, IL
  • NPI 1033596440

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1104290683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615606",
            "telephone_number": "312-648-4666",
            "fax_number": "312-648-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W TOUHY AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-825-0770",
            "fax_number": "312-648-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8037 Summersweet Trl",
            "address_purpose": "LOCATION",
            "city": "Sagamore Hills",
            "state": "OH",
            "postal_code": "440674601",
            "country_code": "US",
            "telephone_number": "216-387-5499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8037 Summersweet Trl",
            "address_purpose": "LOCATION",
            "city": "Sagamore Hills",
            "state": "OH",
            "postal_code": "440674601",
            "country_code": "US",
            "telephone_number": "216-387-5499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1114 Lake St",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011002",
            "country_code": "US",
            "telephone_number": "708-383-1114",
            "fax_number": "312-648-0155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJULIUS",
        "first_name": "ELIZABETH",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD7860",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164007673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caytlin Ashlee Deering, MD
• Stephanie Cristina Scherer Defilippis, LCSW
• Matthew R Degroot, OD
• Melissa Degroot
• Sherille Deguia, PHARMD
• Jan R Delariman, O.T.
• Melanie Elizabeth Delbeccaro, MD
• Joanna Delgado, APRN
• Rebecca Sue Demarchi
• Demas Dental PC

• Registered Dietitian in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.