Active NPI
Michael Reese Hospital & Medical Center
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1730276205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MICHAEL REESE HOSPITAL & MEDICAL CENTER
- Practice address
- 2929 S Ellis
Chicago, IL 60616-3390 - Phone
- (312) 791-2205
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Diane McKenzie, RD, LDN, CDE
- Title
- Center Coordinator
- Phone
- (312) 791-2205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2929 S Ellis
Chicago, IL 60616-3390
Mailing address
2929 S Ellis
Chicago, IL 60616-3390
Phone (312) 791-2205
Other names 1
- Michael Reese Diabetes Center
National Provider Directory
National Provider Directory- Tax ID family
- Michael Reese Diabetes Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1487824892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730276205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 S ELLIS",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163390",
"telephone_number": "312-791-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 S ELLIS",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163390",
"telephone_number": "312-791-2205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL REESE HOSPITAL & MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "CENTER COORDINATOR",
"authorized_official_telephone_number": "312-791-2205",
"authorized_official_credential": "RD, LDN, CDE"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Michael Reese Diabetes Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.