ANAHID EDJLALI RDN
NPI 1104281948
Dietitian, Registered - Nutrition, Metabolic in Bolingbrook, IL

Active since December 21, 2015Accepts Medicare Assignment
790 REMINGTON BLVD, BOLINGBROOK, IL 60440(630) 296-2223 Get Directions Write a Review

NPPES record last updated: May 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2018, Dec 21, 2015 (2 updates tracked since 2015).

About Anahid Edjlali Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANAHID EDJLALI RDN (NPI 1104281948) is an individual nutrition, metabolic provider in Bolingbrook, Illinois, licensed in Washington (DI60479500) and active in the NPI registry since December 2015. She maintains a secondary practice location in Bellevue and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104281948
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameANAHID EDJLALICredential: RDN
Location Address790 REMINGTON BLVDBolingbrook, IL 60440
Mailing Address17800 Talbot Rd S Ste D, Ste. DRenton, WA 98055-5740 · (425) 277-9096
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 21, 2015
Last NPPES UpdateMay 27, 20182 updates tracked since enumeration
NPI 1104281948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License Licensed in WA · DI60479500
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
790 REMINGTON BLVD, Bolingbrook, IL 60440

Secondary Practice Location 1

Location 115600 NE 8th St # B1-707Bellevue, WA 98008-3927 · Phone (425) 830-1615

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anahid Edjlali Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820391964
PECOS Enrollment IDI20160122000985

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Physical Therapist
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Specialist/Technologist (Athletic Trainer)
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Specialist/Technologist (Athletic Trainer)
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Physical Therapist
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Specialist
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Physical Therapist
790 REMINGTON BLVD
BOLINGBROOK, IL 60440
Physical Therapist
790 REMINGTON BLVD
BOLINGBROOK, IL 60440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anahid Edjlali's NPI number?

The NPI number for Anahid Edjlali is 1104281948. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Anahid Edjlali located?

Anahid Edjlali practices at 790 Remington Blvd, Bolingbrook, IL 60440. The listed phone number is (630) 296-2223.

What is Anahid Edjlali's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Anahid Edjlali enrolled in Medicare?

Yes. Anahid Edjlali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anahid Edjlali accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Anahid Edjlali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anahid Edjlali was last updated on May 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.