CARLY GROETSEMA RD, LDN
NPI 1700060910
Dietitian, Registered in Western Springs, IL

Active since December 24, 2007
4064 LAWN AVE, WESTERN SPRINGS, IL 60558(708) 744-1200 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered

About CARLY GROETSEMA

This page provides the complete NPI Profile along with additional information for Carly Groetsema, a provider established in Western Springs, Illinois with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1700060910 assigned on December 2007. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1700060910 Verify this NPI
Provider Name
CARLY GROETSEMA RD, LDN
Gender
Female
Entity Type
Individual
Location Address
4064 LAWN AVE WESTERN SPRINGS, IL 60558
Location Phone
(708) 744-1200
Mailing Address
4064 LAWN AVE WESTERN SPRINGS, IL 60558
Is Sole Proprietor?
No
Enumeration Date
12-24-2007
Last Update Date
10-15-2025
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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 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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700060910, enumerated as an "individual" on December 24, 2007.

The provider is located at 4064 LAWN AVE WESTERN SPRINGS, IL 60558 and the phone number is (708) 744-1200.

Dietitian, Registered with taxonomy code 133V00000X.