NPIMap

Julie Adams, RD

Individual provider Active NPI Registered Dietitian · Chicago, IL

NPI 1417569153 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1417569153
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
164.007355 (IL)
Practice address
225 E Chicago Ave
Chicago, IL 60611-2991
Phone
(312) 227-5067
Fax
(312) 227-9441
NPI assigned
Aug 22, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 17, 2022 through Nov 17, 2026

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
164.007355ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Gastrointestinal Health, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.007355 IL Yes

Addresses

Primary practice location

225 E Chicago Ave
Chicago, IL 60611-2991

Mailing address

1310 Chestnut Ave
Wilmette, IL 60091-1618
Phone (847) 251-5617

Other providers in Chicago, IL

All providers in Chicago, IL · Registered Dietitian in Illinois

Sources for this page

Verify at the official NPI Registry.