Lori Jean De Zanek, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

4940 E State St
Suite 3
Rockford, IL 61108-2270

Phone

(815) 227-0081

Fax

(815) 227-5854

NPI assigned

Nov 2, 2006

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)

Not enrolled

State licenses

Practice roles

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

• Dezanek Podiatry Center LTD

  • Podiatrist
  • Chicago, IL
  • NPI 1407934888
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487733325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 ASPEN CT",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818008",
            "telephone_number": "815-675-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 E STATE ST",
            "address_2": "SUITE 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082270",
            "telephone_number": "815-227-0081",
            "fax_number": "815-227-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ZANEK",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A De Roush, R.D.
• Edith Karina De Soto, PMHNP-BC
• Christina De Suno
• Nicole De Vera
• Anne Ellen De Verneuil, MA, CADC
• Dean J. Kokinias D.D.S., P.C.
• Jessica Dean, APN
• Sharelda Dean
• Dear Doula
• Robin J Debenedetto, LMT,MMP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.