Individual provider Active NPI

Jamie Patel, RD LDN

  • Registered Dietitian
  • Huntley, IL
National Provider Identifier
1891183109
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164004185 Issued in IL
Practice address
10350 Haligus Rd Ste 220
Huntley, IL 60142
Phone
(815) 338-6600
Fax
(847) 802-7231
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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 164004185 IL Primary

Addresses

Primary practice location

10350 Haligus Rd Ste 220
Huntley, IL 60142

Mailing address

10350 Haligus Rd Ste 220
Huntley, IL 60142-9585
Phone (815) 338-6600

Other practice location 1

200 E Congress Pkwy
Crystal Lake, IL 60014-6268
Phone (815) 338-6600

Other practice location 2

650 Dakota St Ste A
Crystal Lake, IL 60012-3744
Phone (815) 338-6600

Other practice location 3

3707 Doty Rd Ste A
Woodstock, IL 60098-7530
Phone (815) 338-6600

Other practice location 4

4309 W Medical Center Dr Ste B202
McHenry, IL 60050-8417
Phone (815) 338-6600

Other practice location 5

360 Station Dr Fl 3
Crystal Lake, IL 60014-7978
Phone (813) 338-6600

Other practice location 6

10350 Haligus Rd Ste 200
Huntley, IL 60142-9545
Phone (815) 338-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170407001697 IL Practitioner - Registered Dietitian Or Nutrition Professional 5496031338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164004185ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince May 1, 2019 Accepting new patients
Central Dupage Physician Group CurrentSince May 1, 2019 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

360 Station Dr
Fl 3
Crystal Lake, IL 60014
Phone (815) 759-8070

650 Dakota St
Ste A
Crystal Lake, IL 60012
Phone (815) 334-5018

11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300

10350 Haligus Rd
Ste 200
Huntley, IL 60142

10450 Algonquin Rd
Ste 100A
Huntley, IL 60142
Phone (815) 334-5566

10350 Haligus Rd
Ste 220
Huntley, IL 60142
Phone (847) 802-7230

4309 W Medical Center Dr
Ste B202
McHenry, IL 60050
Phone (815) 344-3900

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

3707 Doty Rd
Ste A
Woodstock, IL 60098
Phone (815) 334-5018

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1891183109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE 220",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429585",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE 220",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "60142",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600146268",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-356-6577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Dakota St Ste A",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600123744",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-356-1104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 Doty Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987530",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-206-1089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4309 W Medical Center Dr Ste B202",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508417",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-344-8957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Station Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147978",
            "country_code": "US",
            "telephone_number": "813-338-6600",
            "fax_number": "815-356-6577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 Haligus Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429545",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAMIE",
        "credential": "RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.