Jacqueline Tobinson Glew, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164004220 Issued in IL

Practice address

5230 Old Orchard Rd
C/O Block Center for Integrative Cancer Treatment
Skokie, IL 60077-1034

Phone

(847) 492-3040

Fax

(847) 505-0822

NPI assigned

Feb 6, 2007

Last updated

Mar 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1780723585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 OLD ORCHARD RD",
            "address_2": "C/O BLOCK CENTER FOR INTEGRATIVE CANCER TREATMENT",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771034",
            "telephone_number": "847-492-3040",
            "fax_number": "847-505-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 OLD ORCHARD RD",
            "address_2": "C/O BLOCK CENTER FOR INTEGRATIVE CANCER TREATMENT",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771034",
            "telephone_number": "847-492-3040",
            "fax_number": "847-505-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEW",
        "first_name": "JACQUELINE",
        "middle_name": "TOBINSON",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "IL",
            "license": "164004220",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164004220",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004220",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "164004220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.