Dorothy B. Wilson, MHS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

17800 Kedzie Ave
Food & Nutrition Services
Hazel Crest, IL 60429-2029

Phone

(708) 213-3053

Fax

(708) 213-0134

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376768655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604610364",
            "telephone_number": "708-747-3016",
            "fax_number": "708-668-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 KEDZIE AVE",
            "address_2": "FOOD & NUTRITION SERVICES",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292029",
            "telephone_number": "708-213-3053",
            "fax_number": "708-213-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DOROTHY",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "MHS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wilk, MD
• Iris L Williams, LCSW
• Robina Renee Williams
• Sebastion A Williams, M.S.ED., LCPC, CCM
• Daryel C. Wilson, RPH
• Mary Katherine Wilson, PA-C
• Nekeia M Wilson, LCSW
• Brooke Wold, DMS, PA-C
• Carol Womack, PROVIDER
• Womens Wellness World SC

• Registered Dietitian in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.