Active NPI
Stanley Joseph Bielawski, RD/LDN
- Registered Dietitian
- New Lenox, IL
National Provider Identifier
1427769686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.005074
- Practice address
- 1900 Silver Cross Blvd
New Lenox, IL 60451-9509 - Phone
- (815) 300-7273
- NPI assigned
- Dec 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.005074 | IL | Primary |
Addresses
Primary practice location
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Mailing address
15243 Huntington CT
Orland Park, IL 60462-3532
Phone (815) 300-7273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005074 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1427769686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15243 HUNTINGTON CT",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623532",
"telephone_number": "815-300-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SILVER CROSS BLVD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604519509",
"telephone_number": "815-300-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIELAWSKI",
"first_name": "STANLEY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RD/LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.005074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.