Active NPI
Teresa Romano, RD
- Registered Dietitian
- Deerfield, IL
National Provider Identifier
1699333906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164007212
- Practice address
- 770 Lake Cook Rd Ste 220
Deerfield, IL 60015-4920 - Phone
- (773) 236-0866
- NPI assigned
- Jun 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | |||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Registered Dietitian | 133V00000X | 164007212 | IL | Primary |
Addresses
Primary practice location
770 Lake Cook Rd Ste 220
Deerfield, IL 60015-4920
Mailing address
770 Lake Cook Rd Ste 220
Deerfield, IL 60015-4920
Phone (773) 236-0866
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 |
|---|---|---|---|
| 164007212 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teresa Romano PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
707 Lake Cook Rd
Ste 105
Deerfield, IL 60015
Phone (312) 841-7491
770 Lake Cook Rd
Ste 220
Deerfield, IL 60015
Phone (773) 236-0866
832 Dempster St
Evanston, IL 60202
Phone (224) 307-4736
Organizations & group practices 1
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": "1559347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1699333906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 LAKE COOK RD STE 220",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154920",
"telephone_number": "773-236-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 LAKE COOK RD STE 220",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154920",
"telephone_number": "773-236-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANO",
"first_name": "TERESA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-01",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164007212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.