EILEEN M POTTER MS, RD
NPI 1649960394
Dietitian, Registered - Nutrition, Pediatric in Glenview, IL

Active since May 08, 2023
901 BUCCANEER DR, GLENVIEW, IL 60026(847) 724-8015 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eileen M Potter Ms, Rd NPPES

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

EILEEN M POTTER MS, RD (NPI 1649960394) is an individual nutrition, pediatric provider in Glenview, Illinois, licensed in Illinois (164002424) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1649960394
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameEILEEN M POTTERCredential: MS, RD
Location Address901 BUCCANEER DRGlenview, IL 60026-7044
Mailing Address1210 W Cornelia AveChicago, IL 60657-1428 · (773) 343-0774
Sole ProprietorNo
Enumeration DateMay 8, 2023
Last NPPES UpdateMay 9, 2023
NPPES CertifiedMay 9, 2023
NPI 1649960394 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 · 164002424
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 164002424 (IL)
901 BUCCANEER DR, Glenview, IL 60026

Other Providers at the Same Location NPPES 6

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

Dietitian, Registered
901 BUCCANEER DR
GLENVIEW, IL 60026
Dietitian, Registered (Nutrition, Pediatric)
901 BUCCANEER DR
GLENVIEW, IL 60026
Dietitian, Registered
901 BUCCANEER DR
GLENVIEW, IL 60026
Dietitian, Registered (Nutrition, Pediatric)
901 BUCCANEER DR
GLENVIEW, IL 60026
Dietitian, Registered (Nutrition, Pediatric)
901 BUCCANEER DR
GLENVIEW, IL 60026
Dietitian, Registered
901 BUCCANEER DR
GLENVIEW, IL 60026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649960394, enumerated as an "individual" on May 08, 2023.

The provider is located at 901 BUCCANEER DR GLENVIEW, IL 60026 and the phone number is (847) 724-8015.

Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.