NPIMap

Organization Active NPI

Real Dietitian, LLC

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1225426232
Registry record updated Oct 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
REAL DIETITIAN, LLC
Practice address
222 Merchandise Mart PLZ
Suite 1212
Chicago, IL 60654-1103
Phone
(773) 332-5090
Fax
(877) 791-5969
NPI assigned
Dec 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2015

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

Authorized official

Name
Sidonia Rose Swarm
Title
Ceo
Phone
(773) 332-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

222 Merchandise Mart PLZ
Suite 1212
Chicago, IL 60654-1103

Mailing address

6824 N Mendota Ave
Chicago, IL 60646-1313
Phone (773) 332-5090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1419638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445126400000",
    "number": "1225426232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 N MENDOTA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461313",
            "telephone_number": "773-332-5090",
            "fax_number": "877-791-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MERCHANDISE MART PLZ",
            "address_2": "SUITE 1212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606541103",
            "telephone_number": "773-332-5090",
            "fax_number": "877-791-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL DIETITIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-27",
        "last_updated": "2015-10-18",
        "status": "A",
        "authorized_official_last_name": "SWARM",
        "authorized_official_first_name": "SIDONIA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-332-5090"
    },
    "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 Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2015; 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.