Agatha Wrobel

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

525 Tyler Rd Ste N1A
Saint Charles, IL 60174-3365

Phone

(630) 728-1745

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1366157950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TYLER RD STE N1A",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601743365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TYLER RD STE N1A",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601743365",
            "telephone_number": "630-728-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBEL",
        "first_name": "AGATHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "charmEHR",
            "affiliation": "N",
            "endpointDescription": "electronic health record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 Tyler Rd Ste N1A",
            "city": "Saint Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601743365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Celina Wollak, LCSW
• Jeffrey M C Wong, D.C.
• Shelby Ryan Woods
• Autumn Wouk
• Chelsea Wright, LCSW
• Salam Yamak, PA-C
• Dan Yan
• Roberta Yatchak, LCSW
• Amy Alicia Yehoshua, L.AC
• Brittany Yelnick

• Nutritionist in St Charles, IL
• Providers in St Charles, IL by specialty
• Nutritionist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.