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GOTTLIEB MEMORIAL HOSPITAL NPI 1790898674


NPI Information

NPI: 1790898674
Provider Name: GOTTLIEB MEMORIAL HOSPITAL

Other Name: GOTTLIEB MEMORIAL DIETICIANS

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
701 W NORTH AVE
MELROSE PARK, IL
ZIP 60160
Phone: (708) 681-3200
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GOTTLIEB MEMORIAL HOSPITAL is a dietitian registered in Melrose Park, IL. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. GOTTLIEB MEMORIAL HOSPITAL NPI is 1790898674. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Gottlieb Memorial Dieticians.

The provider's business location address is:

701 W NORTH AVE
MELROSE PARK, IL
ZIP 60160-612
Phone: (708) 681-3200
Fax: (708) 450-5058

The provider's authorized official is Ellyn Chin .
The authorized official title is Vice President Of Finance and has the following contact phone number (708) 681-3200.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 10/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered1630768ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201896MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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