Individual provider Active NPI

Steven Ziganto

  • Registered Dietitian
  • Glen Ellyn, IL
National Provider Identifier
1679025712
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86075379 Issued in IL
Practice address
720 Roosevelt Rd
Glen Ellyn, IL 60137-5806
Phone
(630) 984-2200
NPI assigned
Oct 25, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86075379 IL Primary

Addresses

Primary practice location

720 Roosevelt Rd
Glen Ellyn, IL 60137-5806

Mailing address

8524 Lisa LN
Hickory Hills, IL 60457-1341
Phone (630) 886-9613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208000409 IL Practitioner - Registered Dietitian Or Nutrition Professional 8527341049 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86075379ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution PTWL LLC Dietitian, Registered CurrentSince Jan 4, 2017 Accepting new patients
Next Step Nutrition Counseling LLC Dietitian, Registered CurrentSince May 1, 2022 Accepting new patients

Locations

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

720 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 730-8456

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1679025712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 LISA LN",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604571341",
            "telephone_number": "630-886-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375806",
            "telephone_number": "630-984-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGANTO",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "86075379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.