ELYSE J BOROSKI
NPI 1629549704
Dietitian, Registered in Princeton, IL

Active since December 16, 2018
530 PARK AVE E STE 201, PRINCETON, IL 61356(815) 876-4447 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered

About ELYSE BOROSKI

This page provides the complete NPI Profile along with additional information for Elyse Boroski, a provider established in Princeton, Illinois with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1629549704 assigned on December 2018. The practitioner's primary taxonomy code is 133V00000X with license number 164007562 (IL). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1629549704 Verify this NPI
Provider Name
ELYSE J BOROSKI
Other Name
ELYSE J BREUNING
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
530 PARK AVE E STE 201 PRINCETON, IL 61356
Location Phone
(815) 876-4447
Mailing Address
530 PARK AVE E STE 201 PRINCETON, IL 61356
Mailing Phone
(815) 876-4447
Is Sole Proprietor?
Yes
Enumeration Date
12-16-2018
Last Update Date
12-16-2018
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Location Map

Secondary Locations

  • 925 West St
    Peru, IL 61354
    (815) 223-3300

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
164007562
License State
IL
Taxonomy Description
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.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
530 PARK AVE E STE 201
PRINCETON, IL 61356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629549704, enumerated as an "individual" on December 16, 2018.

The provider is located at 530 PARK AVE E STE 201 PRINCETON, IL 61356 and the phone number is (815) 876-4447.

Dietitian, Registered with taxonomy code 133V00000X.