FORMULIFERX
NPI 1033596440
Dietitian, Registered in Chicago, IL

NPI Status: Active since May 05, 2015

Contact Information

619 W JACKSON BLVD
CHICAGO, IL
ZIP 60661
Phone: (312) 648-4666
Fax: (312) 648-0155

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  • Organization
  • Dietitian, Registered
  • Accepts Insurance

About FORMULIFERX

This page provides the complete NPI Profile along with additional information for Formuliferx, a provider established in Chicago, Illinois operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1033596440 assigned on May 2015. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Formuliferx. The authorized official of this NPI record is Brian Singleton (Cfo)

NPI
1033596440
Provider Legal Name
FITNESS FORMULA, LTD
Other Organization Name
FORMULIFERX
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
619 W JACKSON BLVD CHICAGO, IL 60661
Location Phone
(312) 648-4666
Location Fax
(312) 648-0155
Mailing Address
619 W JACKSON BLVD CHICAGO, IL 60661
Mailing Phone
(312) 648-4666
Mailing Fax
(312) 648-0155
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2015
Last Update Date
05-05-2015
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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
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN SINGLETON

Authorized Official Title
CFO
Authorized Official Phone
(312) 648-4666

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033596440
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631091248
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 0 + 9 + 1 + 2 + 4 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1033596440 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548794704 SARAH SOBOTKA
Individual
Dietitian, Registered619 W JACKSON BLVD
CHICAGO, IL 60661
(312) 627-0444
1639652787 LUCERO MOLINA RD
Individual
Dietitian, Registered619 W JACKSON BLVD
CHICAGO, IL 60661
(312) 627-0444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033596440, enumerated in the NPI registry as an "organization" on May 05, 2015

The provider is located at 619 W Jackson Blvd Chicago, Il 60661 and the phone number is (312) 648-4666

This medical organization specializes in Dietitian, Registered with taxonomy code 133V00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 05, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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