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JOANNA SICILIANO RD LDN
NPI 1124288899
Dietitian, Registered - Nutrition, Pediatric in Chicago, IL

Active since June 16, 2008
1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2026, Jan 26, 2026, Jan 20, 2026 (3 updates tracked since 2026).

About Joanna Siciliano Rd Ldn NPPES

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

JOANNA SICILIANO RD LDN (NPI 1124288899) is an individual nutrition, pediatric provider in Chicago, Illinois, licensed in Illinois (164003068) and active in the NPI registry since June 2008. She maintains a secondary practice location in Chicago and is a graduate of Other (1995).

NPPES Registry Identity

NPI1124288899
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameJOANNA SICILIANOCredential: RD LDN
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address1740 W Taylor StChicago, IL 60612-7232
Phone(866) 600-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 16, 2008
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1124288899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in IL · 164003068
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 164003068 (IL)
1740 W TAYLOR ST, Chicago, IL 60612
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Secondary Practice Location 1

Location 11801 W Taylor StChicago, IL 60612-4795 · Phone (312) 996-7416

Other Identifiers 1

Medicaid164003068IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanna Siciliano Rd Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284114992
PECOS Enrollment IDI20260212002595

Medicare Billing Reassignment

Medicare enrollment records show Joanna Siciliano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of The University Of Illinois
Same address
Anesthesiology
1740 W TAYLOR ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1013136282 (312) 996-4020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 Joanna Siciliano's NPI number?

The NPI number for Joanna Siciliano is 1124288899. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Joanna Siciliano located?

Joanna Siciliano practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (866) 600-2273.

What is Joanna Siciliano's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Is Joanna Siciliano enrolled in Medicare?

Yes. Joanna Siciliano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joanna Siciliano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Siciliano reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joanna Siciliano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joanna Siciliano was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.