Active NPI
Anita Marie Vandergraaf, RD
- Registered Dietitian
- Glenview, IL
National Provider Identifier
1356145320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.001247
- Practice address
- 921 Harlem Ave Apt 16
Glenview, IL 60025-4279 - Phone
- (224) 714-9420
- NPI assigned
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 164.001247 | IL | Primary |
Addresses
Primary practice location
921 Harlem Ave Apt 16
Glenview, IL 60025-4279
Mailing address
921 Harlem Ave Apt 16
Glenview, IL 60025-4279
Phone (224) 714-9420
Other practice location 1
1700 Luther Ln
Park Ridge, IL 60068-1270
Phone (847) 723-9640
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.001247 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1356145320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 HARLEM AVE APT 16",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600254279",
"telephone_number": "224-714-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 HARLEM AVE APT 16",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600254279",
"telephone_number": "224-714-9420"
}
],
"practiceLocations": [
{
"address_1": "1700 Luther Ln",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681270",
"country_code": "US",
"telephone_number": "847-723-9640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERGRAAF",
"first_name": "ANITA",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-01",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.001247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.