Active NPI
Elizabeth G Page, RDN, CNSC, LDN
- Registered Dietitian
- Oak Park, IL
National Provider Identifier
1689184111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1026045
- Practice address
- 520 S Maple Ave
Oak Park, IL 60304-1022 - Phone
- (708) 660-2250
- NPI assigned
- Oct 11, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 1026045 | IL | Primary |
Addresses
Primary practice location
520 S Maple Ave
Oak Park, IL 60304-1022
Mailing address
125 S Green St Apt 702a
Chicago, IL 60607-3719
Phone (240) 304-6488
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 |
|---|---|---|---|
| 1026045 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1689184111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S GREEN ST APT 702A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073719",
"telephone_number": "240-304-6488",
"fax_number": "904-854-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S MAPLE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041022",
"telephone_number": "708-660-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "ELIZABETH",
"middle_name": "G",
"credential": "RDN, CNSC, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "1026045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.