NPIMap

Individual provider Active NPI

Laura Olejnik, RD

  • Registered Dietitian
  • Downers Grove, IL
National Provider Identifier
1689846461
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
993651 Issued in IL
Practice address
1201 Butterfield Rd
Ste B
Downers Grove, IL 60515-1073
Phone
(630) 968-0306
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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 993651 IL Primary

Addresses

Primary practice location

1201 Butterfield Rd
Ste B
Downers Grove, IL 60515-1073

Mailing address

1201 Butterfield Rd
Ste B
Downers Grove, IL 60515-1073

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

LicenseStateTypeSpecialty
993651ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Renal Care LTD Past Accepting new patients
Usrc Oak Brook LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1689846461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BUTTERFIELD RD",
            "address_2": "STE B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BUTTERFIELD RD",
            "address_2": "STE B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151073",
            "telephone_number": "630-968-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEJNIK",
        "first_name": "LAURA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "993651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.