MISS NATALIE CAITLYN EUBANK (NPI# 1104276476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104276476 |
| Entity Type | Individual |
| Full Name | MISS NATALIE CAITLYN EUBANK |
| Credential | RD, LDN |
| Practice Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
| Practice Telephone | 7086841490 |
| Mailing Telephone | 7086841490 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 122188 | KY | Dietary & Nutritional Service Providers |
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
164006725 | IL | Dietary & Nutritional Service Providers |
| Street Address |
4440 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805666 | Kenneth S. Toth | Anesthesiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2005-07-15 |
| 1821697392 | Marissa Vavra | Occupational Therapist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-25 |
| 1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
| 1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
| 1255943999 | Kristen Michele Hill | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-08-22 |
| 1033735295 | Thomas Panicucci | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-23 |
| 1538785407 | Amanda Thompson | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-17 |
| 1508481250 | Amy Marie Fader | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-09 |
| 1528680139 | Nader Hamzeh Darwish | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-18 |
| 1003438920 | Anna Manilla | Speech-Language Pathologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760652317 | Laurie Marie Slavin | Dietitian, Registered | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238941 | Beth Helmold | Dietitian, Registered | 111 N 5th Ave, Morton, IL 61550-2103 | 2019-01-08 |
| 1831665405 | Grazyna Gawedzki | Dietitian, Registered | 829 Austin Ave, Park Ridge, IL 60068-2682 | 2018-10-22 |
| 1215446463 | Sarah Berglind | Dietitian, Registered | 7640 W Coach Rd, Palos Heights, IL 60463-1244 | 2017-09-20 |
| 1043757149 | Amanda Salley | Dietitian, Registered | 1900 Sycamore Rd, Homewood, IL 60430-2323 | 2017-01-26 |
| 1932641750 | Tara Todd | Dietitian, Registered | 3312 Forest Hill School Rd, Millstadt, IL 62260-3116 | 2016-11-10 |
| 1639553142 | Bianca Roe | Dietitian, Registered | 2630 W Bradley Pl Ste A, Chicago, IL 60618-4704 | 2015-07-14 |
| 1144620261 | Julie Ann Mota | Dietitian, Registered | 728 S Madison Ave, La Grange, IL 60525-2805 | 2014-08-26 |
| 1902205370 | Kathleen Sheldon | Dietitian, Registered | 5332 Woodland Ave, Western Springs, IL 60558-1854 | 2014-08-21 |
| 1487925996 | Amanda Nelson | Dietitian, Registered | 2814 Miller Rd, Geneva, IL 60134-3996 | 2012-01-16 |
| 1790090033 | Diane Martinez Dadivas | Dietitian, Registered | 8439 N Clifton Ave, Niles, IL 60714-1803 | 2010-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MISS NATALIE CAITLYN EUBANK.
| 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.