Vasiliki Pavlou, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164008354 Issued in IL

Practice address

21382 N Grove Dr
Kildeer, IL 60047-8656

Phone

(847) 830-4082

NPI assigned

May 27, 2021

Last updated

Nov 7, 2023By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revolution PTWL LLC

  dba Revolution Physical Therapy Weight Loss

  • Physical Therapist
  • Chicago, IL
  • NPI 1164766606

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1437725876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21382 N GROVE DR",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600478656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21382 N GROVE DR",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600478656",
            "telephone_number": "847-830-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 W Surf St Ste 5100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577227",
            "country_code": "US",
            "telephone_number": "630-986-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLOU",
        "first_name": "VASILIKI",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164008354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Henry Neal, MD
• Northwest Community Health Services Inc
• Jaime Rebecca Obszanski, D.O.
• Dimitra Panagakis, APN
• Krishna Patel
• Perlin Consulting
• Jack V. Pinto Jr., M.D.
• Arlyn Joy G Quitevis, APN-CNP
• Carole Ann Rosanova, MD
• Jennifer Ann Sabath, DO

• Registered Dietitian in Kildeer, IL
• Providers in Kildeer, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.