MEDICAL NUTRITIONAL THERAPY
NPI 1144861196
Clinic/Center - Health Service in Glenview, IL

Active since October 01, 2019
3633 W LAKE AVE STE 406, GLENVIEW, IL 60026(224) 806-5511 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medical Nutritional Therapy NPPES

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

MEDICAL NUTRITIONAL THERAPY (NPI 1144861196) is a healthcare organization registered as a health service in Glenview, Illinois and active in the NPI registry since October 2019. The organization lists Emiliya Subev, Dietitian, as its authorized official.

NPPES Registry Identity

NPI1144861196
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMEDICAL NUTRITIONAL THERAPY
Location Address3633 W LAKE AVE STE 406Glenview, IL 60026-5804
Mailing Address3633 W Lake Ave Ste 406Glenview, IL 60026-5804 · (224) 806-5511
Organization SubpartNo
Authorized OfficialEmiliya SubevDietitian · (224) 806-5511
Enumeration DateOctober 1, 2019
✔ NPI 1144861196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
3633 W LAKE AVE STE 406, Glenview, IL 60026

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Nutritional Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Medical Nutritional Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1922579929
3633 W LAKE AVE STE 406
Glenview, IL 60026
(847) 414-0450
✔ Accepts MedicareSame address

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

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 Medical Nutritional Therapy's NPI number?

The NPI number for Medical Nutritional Therapy is 1144861196. It was assigned to this organization in the NPPES registry on October 1, 2019.

Where is Medical Nutritional Therapy located?

Medical Nutritional Therapy is located at 3633 W Lake Ave Ste 406, Glenview, IL 60026. The listed phone number is (224) 806-5511.

What is Medical Nutritional Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Medical Nutritional Therapy enrolled in Medicare?

Yes. Medical Nutritional Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Nutritional Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Medical Nutritional Therapy. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Medical Nutritional Therapy was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.