OrganizationActive
Lakeside Digestion PLLC
NPI 1053941112 · Registered Dietitian · Evanston, IL
Lakeside Digestion PLLC is a Registered Dietitian organization in Evanston, IL (NPI 1053941112).
Provider details
- NPI number
- 1053941112
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Nicholas Palumbo, Owner(224) 900-7562
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 Sherman Ave
Evanston, IL 60202-2815
Phone: (773) 319-7319
Street-level locationGet directions
Mailing address
501 Sherman Ave
Evanston, IL 60202-2815
Registry dates
- Enumerated
- 2020-01-16
- Last updated
- 2020-01-20
- Certified
- 2020-01-20
Frequently asked questions
- What is Lakeside Digestion PLLC's NPI number?
- Lakeside Digestion PLLC's National Provider Identifier (NPI) is 1053941112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Digestion PLLC?
- Lakeside Digestion PLLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Lakeside Digestion PLLC located?
- Lakeside Digestion PLLC's practice location on file with NPPES is 501 Sherman Ave, Evanston, IL 60202-2815.
- What is Lakeside Digestion PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Digestion PLLC is (773) 319-7319.
- Who is the authorized official for Lakeside Digestion PLLC?
- The authorized official listed on Lakeside Digestion PLLC's NPPES record is Nicholas Palumbo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Digestion PLLC's NPI active?
- Yes — Lakeside Digestion PLLC's NPI (1053941112) is active in the NPPES registry as of the last update on 2020-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.