Angelina Andriacchi, MSN

Individual provider Active NPI Nutritionist · Oak Forest, IL

NPI 1124978663 · NPPES record last updated Feb 3, 2026

Key facts

NPI
1124978663
Entity type
Individual (NPI type 1)
Primary specialty
Nutritionist 133N00000X
Practice address
15811 Central Ave
PO Box #3
Oak Forest, IL 60452-7600
Phone
(708) 209-8188
NPI assigned
Feb 3, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Fan LLC Nutritionist Current Accepting new patients

Locations

15811 Central Ave
Unit 3
Oak Forest, IL 60452
Phone (708) 209-8188

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist
Group: 193400000X SINGLE SPECIALTY GROUP
133N00000X IL Yes

Addresses

Primary practice location

15811 Central Ave
PO Box #3
Oak Forest, IL 60452-7600

Mailing address

15811 Central Ave
PO Box #3
Oak Forest, IL 60452-7600
Phone (708) 209-8188

Other practice location 1

14826 Jean Ct
Oak Forest, IL 60452-1446
Phone (708) 209-8188

Other providers in Oak Forest, IL

All providers in Oak Forest, IL · Nutritionist in Illinois

Sources for this page

Verify at the official NPI Registry.