Individual provider Active NPI

Sarah Abu-Ghannam, MS, RDN, LDN

  • Registered Dietitian
  • Glenview, IL
National Provider Identifier
1881539062
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164024021 Issued in IL
Practice address
3633 W Lake Ave Ste 401
Glenview, IL 60026-5812
Phone
(224) 806-5511
NPI assigned
Apr 22, 2026
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 164024021 IL Primary

Addresses

Primary practice location

3633 W Lake Ave Ste 401
Glenview, IL 60026-5812

Mailing address

468 W Melrose St Apt 366
Chicago, IL 60657-3866
Phone (703) 595-3291

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164024021ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1881539062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 W MELROSE ST APT 366",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573866",
            "telephone_number": "703-595-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE STE 401",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265812",
            "telephone_number": "224-806-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU-GHANNAM",
        "first_name": "SARAH",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164024021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.