Organization Active NPI

Lean Thyme Nutrition Co

  • Registered Dietitian
  • Bridgeview, IL
National Provider Identifier
1467243881
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LEAN THYME NUTRITION CO
Practice address
7524 103Rd St
Bridgeview, IL 60455-2400
Phone
(708) 501-2535
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Leen AbdulqaderNPI 1689372526
Title
Registered Dietitian - Ceo
Phone
(708) 501-2535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

7524 103Rd St
Bridgeview, IL 60455-2400

Mailing address

7524 103Rd St
Bridgeview, IL 60455-2400
Phone (708) 501-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260407001895 IL Part B Supplier - Clinic/Group Practice 2466927520 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeview, IL

National Provider Directory

National Provider Directory

Locations

7667 W 95th St
Ste 200
Hickory Hills, IL 60457

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1467243881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 103RD ST",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604552400",
            "telephone_number": "708-501-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 103RD ST",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604552400",
            "telephone_number": "708-501-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAN THYME NUTRITION CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "ABDULQADER",
        "authorized_official_first_name": "LEEN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN - CEO",
        "authorized_official_telephone_number": "708-501-2535"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.