Active NPI
The Family Dietitians
- Registered Dietitian
- Western Springs, IL
National Provider Identifier
1609648187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- THE FAMILY DIETITIANS
- Practice address
- 5600 Wolf Rd Ste 135
Western Springs, IL 60558-2201 - Phone
- (773) 875-5683
- NPI assigned
- Oct 26, 2023
- 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
- Leslie Vlazny Stiles, RD
- Title
- Dietitian
- Phone
- (773) 875-5683
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | Primary | ||
| Pediatric Nutrition Registered Dietitian | 133VN1004X |
Addresses
Primary practice location
5600 Wolf Rd Ste 135
Western Springs, IL 60558-2201
Mailing address
5600 Wolf Rd Ste 135
Western Springs, IL 60558-2201
Phone (773) 875-5683
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659760536 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698364800000",
"number": "1609648187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 WOLF RD STE 135",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605582201",
"telephone_number": "773-875-5683",
"fax_number": "708-274-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 WOLF RD STE 135",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605582201",
"telephone_number": "773-875-5683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FAMILY DIETITIANS",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-26",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A",
"authorized_official_last_name": "STILES",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "VLAZNY",
"authorized_official_title_or_position": "DIETITIAN",
"authorized_official_telephone_number": "773-875-5683",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659760536",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.