Organization Active NPI

Hinsdale Health and Nutrition

  • Nutritionist
  • Hinsdale, IL
National Provider Identifier
1891906269
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
036092503 Issued in IL
Legal business name
HINSDALE HEALTH AND NUTRITION
Practice address
120 E Ogden Ave Ste 120
Hinsdale, IL 60521-3545
Phone
(630) 325-5185
Fax
(630) 325-5184
NPI assigned
May 25, 2007
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. Ehtesham J Ghani, M.DNPI 1316988397
Title
Clinical Director
Phone
(630) 325-5185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 036092503 IL Primary

Addresses

Primary practice location

120 E Ogden Ave Ste 120
Hinsdale, IL 60521-3545

Mailing address

120 E Ogden Ave Ste 120
Hinsdale, IL 60521-3545
Phone (630) 325-5185

Other identifiers 1

IdentifierTypeStateIssuer
02232961OtherILBCBS IL

National Provider Directory

National Provider Directory

Locations

120 E Ogden Ave
Ste 120
Hinsdale, IL 60521
Phone (630) 325-3472

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1891906269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE STE 120",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213545",
            "telephone_number": "630-325-5185",
            "fax_number": "630-325-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE STE 120",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213545",
            "telephone_number": "630-325-5185",
            "fax_number": "630-325-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE HEALTH AND NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "EHTESHAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "630-325-5185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "036092503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "02232961",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.