Eileen Marie Walsh, R.D., M.S., LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1775 Dempster St
Park Ridge, IL 60068-1143

Phone

(847) 723-7193

Fax

(847) 723-2020

NPI assigned

Jul 6, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629276993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7129 W BERWYN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561921",
            "telephone_number": "773-763-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "847-723-7193",
            "fax_number": "847-723-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "R.D., M.S., LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "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": []
}

• Bridget Ann Walker, P.T.
• Veronique Wallace, LCSW
• Kelly Wallner
• Jami L. Walloch, M.D.
• David L. Walner, M.D.
• Kaitlin Walsh
• Karen L. Walsh, L.C.S.W.
• Martin Gerard Walsh, MD
• Abigail Walters, APRN
• Hailan Wang

• Registered Dietitian in Park Ridge, IL
• Providers in Park Ridge, 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.