Jane Gathoni Kabogo, MS RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164004360 Issued in IL

Practice address

305 W Enterprise Dr
Apt 107
Mt Prospect, IL 60056

Phone

(773) 978-7370

NPI assigned

Mar 9, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1407097223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W ENTERPRISE DR",
            "address_2": "APT 112",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600565880",
            "telephone_number": "773-978-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W ENTERPRISE DR",
            "address_2": "APT 107",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "773-978-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABOGO",
        "first_name": "JANE",
        "middle_name": "GATHONI",
        "name_prefix": "Miss",
        "credential": "MS RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vandhana Joseph
• Donna Jean Joyce, OTR/L
• JS Wellness Center Corp
• Michael Juhasz I
• Michelle Marie Jurkonie, D.O.
• Sreeletha Suseela Amma Kadavil
• Shawn Kafader, LCPC
• Jamie Lynne Kahon, D.C.
• Anna Kamysz
• Kana Yajima DDS

• Registered Dietitian in Mt Prospect, IL
• Providers in Mt Prospect, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.