Organization Active NPI

Michael Reese Hospital & Medical Center

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1730276205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Michael Reese Diabetes Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.