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

Lakeside Digestion PLLC

Organization Registered Dietitian · NPI 1053941112

Lakeside Digestion PLLC is a Registered Dietitian in Evanston, Illinois. Registered with an NPI since 2020.

In the registry since
2020
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

501 Sherman Ave
Evanston, IL 60202-2815
Phone: (773) 319-7319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1053941112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Palumbo — Owner · (224) 900-7562
NPI enumeratedJanuary 16, 2020
Last updated in NPPESJanuary 20, 2020
Certification dateJanuary 20, 2020
Mailing address501 Sherman Ave, Evanston, IL 60202-2815

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