Basic Information
| Provider Information | |||||||||
| NPI: | 1003429648 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ORLINS | ||||||||
| FirstName: | JAMIE | ||||||||
| MiddleName: | BETH | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS, RD, LDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 N WESTMORELAND RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | LAKE FOREST | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600451687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8473880603 | ||||||||
| FaxNumber: | 3126941155 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 N WESTMORELAND RD STE 201 | ||||||||
| Address2: | |||||||||
| City: | LAKE FOREST | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600451687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8473880603 | ||||||||
| FaxNumber: | 3126941155 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2020 | ||||||||
| LastUpdateDate: | 03/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133VN1401X | 164.005408 | IL | N | 133V00000X | 164005408 | IL | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.