Individual provider Active NPI

Benjamin Michael Rasky, LDN

  • Nutritionist
  • Oak Park, IL
National Provider Identifier
1699312868
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
164.007889 Issued in IL
Practice address
7047 North Ave
Oak Park, IL 60302-1015
Phone
(773) 303-7505
NPI assigned
Dec 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 164.007889 IL Primary

Addresses

Primary practice location

7047 North Ave
Oak Park, IL 60302-1015

Mailing address

7047 North Ave
Oak Park, IL 60302-1015
Phone (773) 303-7505

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
164.007889ILMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermes Health SC CurrentSince Dec 9, 2019 Accepting new patients
Academic & Clinical Associates in Dermatology LTD CurrentSince Dec 9, 2019 Accepting new patients

Locations

7047 North Ave
Oak Park, IL 60302
Phone (708) 383-0300

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1699312868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021015",
            "telephone_number": "773-303-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021015",
            "telephone_number": "773-303-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKY",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "credential": "LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164.007889",
            "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 Dec 5, 2019; 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.