Dietitian Practice PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DIETITIAN PRACTICE PLLC

Practice address

1000 Essington Rd FL 1
Joliet, IL 60435-2841

Phone

(847) 769-3393

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Russ, LDN, CNSNPI 1689439317

Title

Owner

Phone

(847) 769-3393

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Russ, CNS

  • Nutritionist
  • Lake Zurich, IL
  • NPI 1689439317
  NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1740142256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34W038 COUNTRY CLUB RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741471",
            "telephone_number": "847-769-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ESSINGTON RD FL 1",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352841",
            "telephone_number": "847-769-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIAN PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-769-3393",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDN, CNS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Zilly LLC
• Amy Diaz, DMD
• Amanda Diederich, AUDIOLOGIST
• Abigail Diehl, PTA
• Kristianne Eleni Dierkes, M.S., SLP/L
• Digestive Disease Clinic of Joliet LTD
• Joanna Diipla
• Elizabeth Dillman-Jancek, RN
• Patricia Dinovo
• Christabel Dinwiddie

• Registered Dietitian in Joliet, IL
• Providers in Joliet, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.