Active NPI
Grace Wilson
- Registered Dietitian
- Lisle, IL
National Provider Identifier
1316852874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86435482
- Practice address
- 650 Warrenville Rd
Lisle, IL 60532-4314 - Phone
- (184) 393-0611
- NPI assigned
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86435482 | IL | Primary |
Addresses
Primary practice location
650 Warrenville Rd
Lisle, IL 60532-4314
Mailing address
1300 Palmer St
Downers Grove, IL 60516-2739
Phone (184) 393-0611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1316852874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PALMER ST",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605162739",
"telephone_number": "184-393-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 WARRENVILLE RD",
"city": "LISLE",
"state": "IL",
"postal_code": "605324314",
"telephone_number": "184-393-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "86435482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.