Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

A New Leaf Natural Medicine LLC

Organization Registered Dietitian · NPI 1104306240

A New Leaf Natural Medicine LLC is a Registered Dietitian in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

708 Church St
Evanston, IL 60201-3875
Phone: (847) 903-0503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1640006979 (IL)

Record details

NPI number1104306240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bonnie Brock — Sole Member · (847) 903-0503
NPI enumeratedAugust 17, 2018
Last updated in NPPESOctober 10, 2020
Certification dateOctober 10, 2020
Mailing address1420 W Hutchinson St Apt 3n, Chicago, IL 60613-1343

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