Glenda D Oden, RD, CDE, LDN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

164.009143 Issued in IL

Practice address

4259 S Berkeley Ave
Chicago, IL 60653-3030

Phone

(773) 268-7600

Fax

(773) 268-1480

NPI assigned

Aug 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1538351200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 S BERKELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533030",
            "telephone_number": "773-268-7600",
            "fax_number": "773-268-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 S BERKELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533030",
            "telephone_number": "773-268-7600",
            "fax_number": "773-268-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEN",
        "first_name": "GLENDA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "RD, CDE, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "TN",
            "license": "0000000664",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MS",
            "license": "D1416",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "IL",
            "license": "164.009143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeshewa Odedina, DMD, MS
• Ameer Odeh
• Muna Odeh
• Yaseen K Odeh, M.D.
• Nkiruka Odeluga, DO
• Jacob Oden
• Olatoyosi Odenike
• Andrew Odenwald
• Matthew August Odenwald, MD
• Brittany Odes, RN MSN

• Obesity and Weight Management Nutrition Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.