MRS. DOROTHY B. WILSON (NPI# 1376768655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376768655 |
| Entity Type | Individual |
| Full Name | MRS. DOROTHY B. WILSON |
| Credential | MHS, RD, LDN |
| Practice Address |
17800 Kedzie Ave Food & Nutrition Services Hazel Crest IL 60429-2029 |
| Mailing Address |
Po Box 364 Olympia Fields IL 60461-0364 |
| Practice Telephone | 7082133053 |
| Practice Fax Number | 7082130134 |
| Mailing Telephone | 7087473016 |
| Mailing Fax Number | 7086687601 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881143188 | Dorothy L. Wilson | Registered Nurse | 448 Fielding Ln Sw, Atlanta, GA 30311-2045 | 2016-09-27 |
| 1780631135 | Dorothy Vickrey Wilson | Psychiatry & Neurology | 17 Brilliant Ave, Suite 300, Pittsburgh, PA 15215-3137 | 2006-05-30 |
| 1528550217 | Dorothy Wilson | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2018-05-30 |
| 1457896417 | Dorothy Wilson | Nurse Practitioner | 830 S Gloster St, Heart Institute, Tupelo, MS 38801-4934 | 2016-12-30 |
| 1497016893 | Dorothy Wilson | Home Health Aide | 5101 Wisconsin Ave Nw, 250, Washington, DC 20016-4120 | 2012-06-01 |
| 1033135363 | Dorothy Wilson | Occupational Therapist | 2500 E Hallandale Beach Blvd, Suite 611, Hallandale Beach, FL 33009-4834 | 2006-07-13 |
| Street Address |
17800 KEDZIE AVE FOOD & NUTRITION SERVICES |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189206 | Emad Foroohar | Emergency Medicine | 17800 Kedzie Ave, Emergency Department, Hazel Crest, IL 60429-2029 | 2006-01-20 |
| 1396357216 | Katelyn Nicole Konow | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-0989 | 2020-08-21 |
| 1275143539 | Lisa Marie Tomaszewski | Nurse Practitioner | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-08-03 |
| 1275151623 | Mallory Clare Storrs | Dietitian, Registered | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-07-13 |
| 1750904405 | Mark Daniel Fralix II | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-05-28 |
| 1699309948 | Monique Montgomery | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-02-25 |
| 1215567599 | Rasaq Durojaiye | Nurse Practitioner | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-01-25 |
| 1124664693 | Lara Eiler | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2019-11-20 |
| 1710521349 | Tamara Lynn Powers | Physical Therapist | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2019-11-06 |
| 1235789710 | Abolade Jamiu Olawale | Surgery | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2019-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| 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 |
|---|---|---|---|---|
| 1275151623 | Mallory Clare Storrs | Dietitian, Registered | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2020-07-13 |
| 1740412162 | Kristin Lee Delleman | Dietitian, Registered | 17800 Kedzie Ave, Diabetes Wellness Program, Hazel Crest, IL 60429-2029 | 2009-08-18 |
| 1104071760 | Sheana Brighton | Dietitian, Registered | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2008-11-24 |
| 1477764280 | Danielle Nikolina Kleinhoffer | Dietitian, Registered | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2007-05-24 |
| 1558586206 | Lou Ann Kinsella | Dietitian, Registered | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2007-04-16 |
| 1396960647 | Marie L Kots | Dietitian, Registered | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2007-04-13 |
| 1376677740 | Michele Renee Stuglis | Dietitian, Registered | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
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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.