NPIMap

Individual provider Active NPI

Amna Haq, RD

  • Registered Dietitian
  • Glen Ellyn, IL
National Provider Identifier
1376107532
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164007670 Issued in IL
Practice address
875 Roosevelt Rd
Glen Ellyn, IL 60137-6101
Phone
(630) 315-1700
Fax
(630) 938-8330
NPI assigned
Apr 23, 2019
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164007670 IL Primary

Addresses

Primary practice location

875 Roosevelt Rd
Glen Ellyn, IL 60137-6101

Mailing address

875 Roosevelt Rd
Glen Ellyn, IL 60137-6101
Phone (630) 315-1700

Other practice location 1

626 Bethany Rd
Dekalb, IL 60115-4939
Phone (815) 748-8378

Other practice location 2

308 Randall Rd Ste B
Geneva, IL 60134-4201
Phone (630) 315-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
53.64 of 100Reported as group
Quality
20.75
Promoting interoperability
100
Improvement activities
0
Cost
74.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Inclusive Dietitian Dietitian, Registered CurrentSince Dec 24, 2023 Accepting new patients
Central Dupage Hospital Association Past Accepting new patients
Northwestern Lake Forest Hospital Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1376107532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376101",
            "telephone_number": "630-315-1700",
            "fax_number": "630-938-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376101",
            "telephone_number": "630-315-1700",
            "fax_number": "630-938-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Bethany Rd",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601154939",
            "country_code": "US",
            "telephone_number": "815-748-8378",
            "fax_number": "815-748-8356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Randall Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344201",
            "country_code": "US",
            "telephone_number": "630-315-1700",
            "fax_number": "630-938-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQ",
        "first_name": "AMNA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164007670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.