A NEW LEAF NATURAL MEDICINE LLC
NPI 1104306240
Dietitian, Registered in Evanston, IL

Active since August 17, 2018
708 CHURCH ST, EVANSTON, IL 60201(847) 903-0503 Get Directions Write a Review

NPPES record last updated: October 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2020, Aug 17, 2018 (2 updates tracked since 2018).

About A New Leaf Natural Medicine Llc NPPES

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

A NEW LEAF NATURAL MEDICINE LLC (NPI 1104306240) is a healthcare organization registered as a dietitian, registered in Evanston, Illinois and active in the NPI registry since August 2018. The organization lists Bonnie Lynn Brock, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1104306240
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameA NEW LEAF NATURAL MEDICINE LLC
Location Address708 CHURCH STEvanston, IL 60201-3875
Mailing Address1420 W Hutchinson St Apt 3nChicago, IL 60613-1343 · (773) 331-1740
Organization SubpartNo
Authorized OfficialBonnie Lynn BrockSole Member · (847) 903-0503
Enumeration DateAugust 17, 2018
Last NPPES UpdateOctober 10, 20202 updates tracked since enumeration
NPPES CertifiedOctober 10, 2020
NPI 1104306240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in IL · 1640006979
Definition
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.
708 CHURCH ST, Evanston, IL 60201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
708 CHURCH ST, SUITE 221
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST, SUITE 227
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST
EVANSTON, IL 60201
Marriage & Family Therapist
708 CHURCH ST, SUITE 221
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST, SUITE 233
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST, SUITE 243
EVANSTON, IL 60201
Psychologist (Clinical)
708 CHURCH ST
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST, SUITE 258
EVANSTON, IL 60201

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 A New Leaf Natural Medicine LLC's NPI number?

The NPI number for A New Leaf Natural Medicine LLC is 1104306240. It was assigned to this organization in the NPPES registry on August 17, 2018.

Where is A New Leaf Natural Medicine LLC located?

A New Leaf Natural Medicine LLC is located at 708 Church St, Evanston, IL 60201. The listed phone number is (847) 903-0503.

What is A New Leaf Natural Medicine LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for A New Leaf Natural Medicine LLC was last updated on October 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.