AVELLINO GROUP, LTD (NPI# 1215282868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215282868 |
Entity Type | Organization |
Organization Name | AVELLINO GROUP, LTD |
Practice Address |
4256 N Ravenswood Ave Suite 221 Chicago IL 60613-1110 |
Mailing Address |
Po Box 5455 Chicago IL 60680-5455 |
Practice Telephone | 3125335681 |
Mailing Telephone | 3125335681 |
Enumeration Date | 2012-07-19 |
Last Update Date | 2012-07-19 |
Authorized Official Name | CARLA R HEISER (PRESIDENT) |
Authorized Official Telephone | 3125335681 |
Authorized Official Credential | MS, RD, LD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
164003355 | IL | Dietary & Nutritional Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | AVELLINO GROUP, LTD. | 22 Little Farms Road, Larchmont, Ny 10538 |
Street Address |
4256 N RAVENSWOOD AVE SUITE 221 |
City | CHICAGO |
State | IL |
Zip Code | 60613-1110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184720195 | Dennis Pomerleau | Social Worker | 4256 N Ravenswood Ave, Suite 311, Chicago, IL 60613-1110 | 2006-09-16 |
1508368390 | William Robert Bastian | Chiropractor | 4256 N Ravenswood Ave, Chicago, IL 60613-1114 | 2018-03-07 |
1811440068 | Elizabeth Mcnamara | Specialist | 4256 N Ravenswood Ave, Suite 216, Chicago, IL 60613-1114 | 2016-07-24 |
1265896823 | Life Transitions Counseling | Social Worker | 4256 N Ravenswood Ave, Suite 312, Chicago, IL 60613-1114 | 2016-04-11 |
1700247152 | Laura Cooper | Social Worker | 4256 N Ravenswood Ave, Suite 307, Chicago, IL 60613-1114 | 2016-03-13 |
1477925956 | Julia Noobler | Social Worker | 4256 N Ravenswood Ave, Suite 212, Chicago, IL 60613-1114 | 2015-10-23 |
1770954877 | Stephanie Fowler | Counselor | 4256 N Ravenswood Ave, Suite 213, Chicago, IL 60613-1114 | 2015-10-14 |
1184017394 | Seth Solway | Psychologist | 4256 N Ravenswood Ave, Ste 211, Chicago, IL 60613-1114 | 2015-03-12 |
1194116731 | Priscilla Kang Lcsw LLC | Social Worker | 4256 N Ravenswood Ave, Suite 212, Chicago, IL 60613-1114 | 2015-02-17 |
1306237870 | Tatiana Jaramillo | Nurse Practitioner | 4256 N Ravenswood Ave, Chicago, IL 60613-1114 | 2015-02-05 |
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1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
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Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
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1497228456 | The Angelo Method Tam LLC | Dietitian, Registered | 5440 N Cumberland Ave Ste 225, Chicago, IL 60656-1531 | 2019-01-02 |
1922238989 | Siu Mui Carman Cheng | Dietitian, Registered | 2850 S Michigan Ave, Chicago, IL 60616-5018 | 2009-07-23 |
1477045763 | Andrea Williams | Dietitian, Registered | 800 E 55th St, Chicago, IL 60615-4906 | 2018-06-01 |
1114425618 | Neda Khudeira | Dietitian, Registered | 8071 S Cicero Ave, Chicago, IL 60652-2003 | 2018-01-30 |
1235534884 | Julie Bendix | Dietitian, Registered | 6821 S Halsted St, Chicago, IL 60621-1833 | 2014-10-24 |
1467615419 | Margarita Nagy | Dietitian, Registered | 2020 W Harrison St, Chicago, IL 60612-3741 | 2008-07-09 |
1689775199 | Mary Julia Dyra | Dietitian, Registered | 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
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1568893535 | Jason Caraballo | Dietitian, Registered | 1002 Monticello Dr, Aurora, IL 60506-5740 | 2013-12-02 |
1073847539 | Luz Adriana Sancen De Brown | Dietitian, Registered | 2009 Elm St, Quincy, IL 62301-3233 | 2009-09-30 |
1457506214 | Corporate Wellness Inc | Dietitian, Registered | 2272 W 95th St Ste 305, Naperville, IL 60564-8944 | 2008-11-20 |
1629227913 | Harriet Shelley Salzberg | Dietitian, Registered | 276 Chicory Ln, Buffalo Grove, IL 60089-1835 | 2008-09-11 |
1053456384 | Susan Kagen Podell | Dietitian, Registered | 560 N Midlothian Rd, Suite 400, Mundelein, IL 60060-1654 | 2007-02-21 |
1992299788 | Walsh Nutrition Group, Inc. | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
1639663412 | Laura Walsh | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
1104281948 | Anahid Edjlali | Dietitian, Registered | 790 Remington Blvd, Bolingbrook, IL 60440 | 2015-12-21 |
1861883407 | Wendy Arnold | Dietitian, Registered | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2015-02-17 |
1659632602 | Si Medical, Inc. | Dietitian, Registered | 1909 W Coolidge Ave, Marion, IL 62959-1097 | 2012-06-06 |
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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.