Medical Nutritional Therapy

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEDICAL NUTRITIONAL THERAPY

Practice address

3633 W Lake Ave Ste 406
Glenview, IL 60026-5804

Phone

(224) 806-5511

NPI assigned

Oct 1, 2019

Last updated

Oct 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emiliya SubevNPI 1922579929

Title

Dietitian

Phone

(224) 806-5511

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emiliya Subev, RD, LDN, CNSC

  • Nutritionist
  • Glenview, IL
  • NPI 1922579929
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1144861196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE STE 406",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265804",
            "telephone_number": "224-806-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE STE 406",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265804",
            "telephone_number": "224-806-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NUTRITIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "SUBEV",
        "authorized_official_first_name": "EMILIYA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "224-806-5511"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esubev@medicalnutritinonaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Glenview",
            "address_1": "3633 W Lake Ave Ste 406",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600265804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esubev@medicalnutritionaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "emial",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "communication",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3633 W Lake Ave Ste 406",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600265804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medcare (Americo)
• Medcare
• Medcare Inc.
• Medcare Medical Group
• Medcity Medical Supplies LLC
• Victoria Medina, OTD
• Abby Elizabeth Meehan, OTR
• Brenda Dee Mehling, PTA
• Parthiv S Mehta, M.D.
• James Mellody-Pizzato, PTA

• Health Service Clinic/Center in Glenview, IL
• Providers in Glenview, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.

Verify at the official NPI Registry.