Individual provider Active NPI

Karen Melissa Klimczak, R.D., L.D.N.

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1770594673
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.004727 Issued in IL
Practice address
5061 N Pulaski Rd
Suite 300
Chicago, IL 60630-2706
Phone
(773) 539-8181
Fax
(773) 539-0039
NPI assigned
Aug 10, 2006
Last updated
Mar 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.004727 IL Primary

Addresses

Primary practice location

5061 N Pulaski Rd
Suite 300
Chicago, IL 60630-2706

Mailing address

5061 N Pulaski Rd
Suite 300
Chicago, IL 60630-2706
Phone (773) 539-8181

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.004727ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Chow & Associates LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1770594673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 N PULASKI RD",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302706",
            "telephone_number": "773-539-8181",
            "fax_number": "773-539-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 N PULASKI RD",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302706",
            "telephone_number": "773-539-8181",
            "fax_number": "773-539-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMCZAK",
        "first_name": "KAREN",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 25, 2013; 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.