Active NPI
Evolve Yoga & Fitness LLC
- Obesity and Weight Management Nutrition Registered Dietitian
- Chicago, IL
National Provider Identifier
1487279014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- Legal business name
- EVOLVE YOGA & FITNESS LLC
- Practice address
- 7252 W Foster Ave
Chicago, IL 60656-3612 - Phone
- (708) 762-3362
- NPI assigned
- Jun 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Curtis Evrard, OWNER
- Title
- Owner
- Phone
- (773) 318-7820
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Gerontological Nutrition Registered Dietitian | 133VN1101X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | Primary |
Addresses
Primary practice location
7252 W Foster Ave
Chicago, IL 60656-3612
Mailing address
5115 N Mulligan Ave
Chicago, IL 60630-1812
Phone (773) 318-7820
National Provider Directory
National Provider DirectoryLocations
7252 W Foster Ave
Chicago, IL 60656
Phone (708) 762-3362
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Chicago, IL
- NPI 1114544608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591660800000",
"number": "1487279014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 N MULLIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606301812",
"telephone_number": "773-318-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7252 W FOSTER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606563612",
"telephone_number": "708-762-3362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE YOGA & FITNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A",
"authorized_official_last_name": "EVRARD",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-318-7820",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.