LAKESIDE DIGESTION PLLC (NPI# 1053941112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053941112 |
| Entity Type | Organization |
| Organization Name | LAKESIDE DIGESTION PLLC |
| Practice Address |
501 Sherman Ave Evanston IL 60202-2815 |
| Practice Telephone | 7733197319 |
| Mailing Telephone | 2249007562 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | NICHOLAS PALUMBO (OWNER) |
| Authorized Official Telephone | 2249007562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BUSINESS LICENSE LAKESIDE DIGESTION | 248002576 | 01 |
| NPI NICHOLAS PALUMBO | 1861701500 | 01 | |
| IL | RD LICENSE NICHOLAS PALUMBO | 164005341 | 01 |
| Street Address |
501 SHERMAN AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150678 | Allison Wall | Dietitian, Registered | 1011 Ashland Ave Fl 2, Evanston, IL 60202-1138 | 2019-12-03 |
| 1215376918 | An Apple A Day Nutrition, Inc. | Dietitian, Registered | 1324 1/2 Forest Ave, Evanston, IL 60201-4791 | 2013-06-17 |
| 1770784027 | Suzanne Elizabeth Leland-lym | Dietitian, Registered | 25 Pleasant View St, Evanston, WY 82930-9510 | 2007-05-31 |
| 1821207663 | Uchenna Genevieve Ohajunwa | Dietitian, Registered | Evanston Northwestern Healthcare, 2650 Ridge Avenue, Evanston, IL 60201 | 2007-05-21 |
| 1033242136 | Merle Rose Shapera | Dietitian, Registered | 1572 Maple Avenue, Unit 604, Evanston, IL 60201 | 2007-03-14 |
| 1245305804 | Bridges Habilitation Services Inc. | Dietitian, Registered | 100 Bear River Dr, Evanston, WY 82930-2804 | 2006-11-21 |
| 1760081673 | Lauren Elizabeth Todorova | Dietitian, Registered | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-10-21 |
| 1861000994 | Alisa Oler | Dietitian, Registered | 9437 Harding Ave, Evanston, IL 60203-1322 | 2020-07-15 |
| 1295375343 | Kelsey Bencze | Dietitian, Registered | 2255 Campus Dr, Evanston, IL 60201 | 2020-01-07 |
| 1245798867 | Alicia Kazarian | Dietitian, Registered | 1603 Orrington Ave Ste 600, Evanston, IL 60201-3860 | 2019-03-04 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.