Elizabeth Deavilla, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.005357 Issued in IL

Practice address

6912 N. Lakewood Ave
Apt 1E
Chicago, IL 60626-6062

Phone

(847) 477-6467

NPI assigned

Sep 25, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1659856706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 N LAKEWOOD AVE APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263779",
            "telephone_number": "847-477-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 N. LAKEWOOD AVE",
            "address_2": "APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266062",
            "telephone_number": "847-477-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 N LaSalle Street",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60654",
            "country_code": "US",
            "telephone_number": "312-957-6235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAVILLA",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lenore Deasy, OTR/L
• Mary Fe Deaton, NP
• Michael Deavens
• Emily Jeanne Deaver, LCPC
• Robert S Deaver, DDS
• Noel Albert Debacker, M.D.
• Abbey Michelle Debaene, LCSW, CADC
• Casie Lynn Debardi, OTR/L
• Ines Fatma Debbiche, MD
• Rachelle Leah Debehnke, LCPC

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.