Joan Helene Radeke Dannacher, MA, CCC-SLP, RD/LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164004948 Issued in IL

Practice address

106 Ann St
Clarendon Hills, IL 60514-1452

Phone

(630) 926-8307

Fax

(630) 789-2870

NPI assigned

Oct 3, 2007

Last updated

Nov 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strategic Nutrition

  • Registered Dietitian
  • Lake Oswego, OR
  • NPI 1679823108

  Dietitian, Registered

  Medicare reassignment NPD
• Active Wellness, LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1902162662
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1558559591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ANN ST",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141452",
            "telephone_number": "630-926-8307",
            "fax_number": "630-789-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ANN ST",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141452",
            "telephone_number": "630-926-8307",
            "fax_number": "630-789-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEKE DANNACHER",
        "first_name": "JOAN",
        "middle_name": "HELENE",
        "credential": "MA, CCC-SLP, RD/LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004948",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146003788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip J Hamel DMD PLLC
• Philippou Eye Associates LTD
• Charles Philippou, O.D.
• Benjamin Pieczynski, DPT
• Jessica Marie Pohn, MHS
• Rajat Prakash MD SC
• Mursal Khadeeja Rashid, PHARMACIST
• Sarah Marguerite Reynertson, LCPC
• Megan Rhodes, RDN
• Veronica Robledo, R.D.H.

• Registered Dietitian in Clarendon Hills, IL
• Providers in Clarendon Hills, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.