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

Dietitian Practice PLLC

Organization Registered Dietitian · NPI 1740142256

Dietitian Practice PLLC is a Registered Dietitian in Joliet, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Essington Rd Fl 1
Joliet, IL 60435-2841
Phone: (847) 769-3393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1740142256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Russ — Owner · (847) 769-3393
NPI enumeratedDecember 2, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address34w038 Country Club Rd, St Charles, IL 60174-1471

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