MS. PAMELA FAGEN (NPI# 1790192698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192698 |
| Entity Type | Individual |
| Full Name | MS. PAMELA FAGEN |
| Credential | REGISTERED DIETITIAN |
| Practice Address |
2200 E Devon Ave Ste 309 Des Plaines IL 60018-4505 |
| Mailing Address |
8325 S Hermitage Ave Chicago IL 60620-4630 |
| Practice Telephone | 8477084929 |
| Mailing Telephone | 9493941064 |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2014-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164003018 | IL | Dietary & Nutritional Service Providers |
| Street Address |
2200 E DEVON AVE STE 309 |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60018-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463961 | Home Care Angels II, LLC | Homemaker | 2720 S. River Rd., Suite 116, Des Plaines, IL 60018 | 2019-05-24 |
| 1982175691 | Johnny Contreras | Physician Assistant | 1972 Welwyn Ave, Des Plaines, IL 60018 | 2018-12-07 |
| 1336618248 | Better Quality Healthcare LLC | Case Manager/Care Coordinator | 2340 S. River Rd, Des Plaines, IL 60018 | 2018-11-20 |
| 1467942631 | Reanna Peterman | Dietitian, Registered | 1400 E Touhy Ave Ste 300a, Des Plaines, IL 60018 | 2018-05-14 |
| 1902308497 | Gonzalez Clinical Therapy LLC | Clinic/Center | 1400 E Touhy Avenue Suite 240, Des Plaines, IL 60018 | 2018-03-01 |
| 1730689506 | Richard Leon | Specialist/Technologist | 2004 Cedar St, Des Plaines, IL 60018 | 2018-02-17 |
| 1285151449 | Silverado Hospice of Illinois Inc. | Hospice Care, Community Based | 1350 E Touhy Ave Ste 130, Des Plaines, IL 60018 | 2017-08-28 |
| 1588189336 | Sainilkumar Patel | Physical Therapist | 1200 S Leslie Ln, Na, Des Plaines, IL 60018 | 2017-08-12 |
| 1033642251 | Amitaben Patel | Nurse Practitioner | 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 | 2017-04-05 |
| 1487048831 | Tx Enterprises | Acupuncturist | 1784 E. Oakton, #106, Des Plaines, IL 60018 | 2015-03-24 |
| Find all providers in zip 60018 | ||||
| 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 |
|---|---|---|---|---|
| 1184247488 | Dasol Kim | Dietitian, Registered | 1370 E Washington St Apt 2sw, Des Plaines, IL 60016-7111 | 2020-05-20 |
| 1467942631 | Reanna Peterman | Dietitian, Registered | 1400 E Touhy Ave Ste 300a, Des Plaines, IL 60018 | 2018-05-14 |
| 1992221758 | Rosalia Marie Nunez | Dietitian, Registered | 601 Birchwood Ave, Des Plaines, IL 60018-2615 | 2017-08-14 |
| 1063832269 | Kate Melissa Letten | Dietitian, Registered | 2200 East Devon Avenue, Suite #309, Des Plaines, IL 60018 | 2014-04-26 |
| 1053434340 | Tracey V. Goytia | Dietitian, Registered | 1555 Lee St, Des Plaines, IL 60018-1518 | 2007-04-09 |
| 1427189075 | Stacy Anne Roth | Dietitian, Registered | 9039 W Church St, Apt 1h, Des Plaines, IL 60016-7008 | 2007-03-07 |
| 1760905889 | Karen Suleiman | Dietitian, Registered | 2250 E Devon Ave Ste 333, Des Plaines, IL 60018-4532 | 2017-07-20 |
| 1336593425 | Olesya Altman | Dietitian, Registered | 2250 E Devon Ave, Suite 333, Des Plaines, IL 60018-4511 | 2016-04-15 |
| 1578823001 | Sweta D Sheth | Dietitian, Registered | 1635 Oakton Pl, Des Plaines, IL 60018-2002 | 2012-05-17 |
| 1942271069 | Laura Olson | Dietitian, Registered | 8901 Golf Rd, Suite 203, Des Plaines, IL 60016-6850 | 2006-01-27 |
| Find all providers in DES PLAINES | ||||
| City | DES PLAINES |
| Zip Code | 60018 |
Please comment or provide details below to improve the information on MS. PAMELA FAGEN.
| 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.