Active NPI
Nabila'S Nutrition
- Registered Dietitian
- Tinley Park, IL
National Provider Identifier
1972224533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NABILA'S NUTRITION
- Practice address
- 18210 La Grange Rd Ste 201
Tinley Park, IL 60487-7725 - Phone
- (815) 277-1158
- NPI assigned
- Sep 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nabila Alcordo
- Title
- Ceo
- Phone
- (630) 697-6913
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
18210 La Grange Rd Ste 201
Tinley Park, IL 60487-7725
Mailing address
PO Box 2664
Orland Park, IL 60462-1093
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662940800000",
"number": "1972224533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2664",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18210 LA GRANGE RD STE 201",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604877725",
"telephone_number": "815-277-1158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NABILA'S NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-11",
"status": "A",
"authorized_official_last_name": "ALCORDO",
"authorized_official_first_name": "NABILA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-697-6913"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.