Dietitians at Home Therapeutic Shoes, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIETITIANS AT HOME THERAPEUTIC SHOES, LLC

Practice address

2003 W Fulton St
Chicago, IL 60612-2345

Phone

(312) 850-3434

Fax

(312) 638-9872

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Suzanne Hall

Title

Cfo

Phone

(312) 850-3438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Axios Medical Equipment, Inc

  dba Wound Care Solutions Inc

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1477684132

  Member Of

  NPD member
• Dietitians at Home Inc

  • Registered Dietitian
  • Chicago, IL
  • NPI 1215250568

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austinah J Pedian, PA-C

  • Physician Assistant
  • Skokie, IL
  • NPI 1013588607
  NPD (past)
• Mark D Weissman, M.D.

  • Emergency Medicine Physician
  • Marinette, WI
  • NPI 1366426538
  NPD (past)

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1437556958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122345",
            "telephone_number": "312-850-3434",
            "fax_number": "312-638-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122345",
            "telephone_number": "312-850-3434",
            "fax_number": "312-638-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIANS AT HOME THERAPEUTIC SHOES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-850-3438"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Jacob Dieter
• James D Dieterich, MD
• Malissa/Lisa Lynn Dieterle, LCPC; CADC
• Jessica Marie Diethelm, M.D.
• Dietitians at Home Inc
• Ariana Dietrich
• Hannah Lane Dietrich, APRN
• Jonathan Jacob Dietrich, MD
• Kelly Dietrick
• Nancy Ann Diettrich, MD

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.