Active NPI
Emily Siebert
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1578432191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86254350
- Practice address
- 2555 N Clark St Apt 1404
Chicago, IL 60614-1757 - Phone
- (630) 433-8521
- NPI assigned
- Nov 3, 2025
- Last updated
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86254350 | IL | Primary |
Addresses
Primary practice location
2555 N Clark St Apt 1404
Chicago, IL 60614-1757
Mailing address
2555 N Clark St Apt 1404
Chicago, IL 60614-1757
Phone (630) 433-8521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86254350 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1578432191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 N CLARK ST APT 1404",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141757",
"telephone_number": "630-433-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 N CLARK ST APT 1404",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141757",
"telephone_number": "630-433-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEBERT",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "86254350",
"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 Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.