Lil's Low Carb Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIL'S LOW CARB INC

Doing business as

Lil's Dietary Specialty Shop

Practice address

2738 W 111TH St
Chicago, IL 60655-1832

Phone

(773) 239-0355

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Marcie HarveyNPI 1093975963

Title

President

Phone

(773) 239-0355

Specialties & licenses 1

Addresses

Other names 1

• Lil's Dietary Specialty Shop Doing business as

Practitioners 1

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

• Marcie L Harvey

  • Dietary Manager
  • Chicago, IL
  • NPI 1093975963
  NPD (past) Authorized official

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1467001396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551832",
            "telephone_number": "773-239-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551832",
            "telephone_number": "773-239-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL'S LOW CARB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-239-0355"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lil's Dietary Specialty Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liisa Freeh, LCSW, PLLC
• Mithu Lijo
• Katherine Lik, ND
• Alazar Addisu Likassa, MD
• Mihaela Liker, NURSE PRACTITIONER
• Lilac Psychotherapy, PLLC
• Lilac Treatment Centers LLC
• Lilac Wellness and Relational Counseling, PLLC (Lilac Wellness and Relational Counseling)
• Lilah Handler & Associates
• Rachel Lile King, 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 Sep 4, 2019; 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.