OrganizationActive
Taylor Wolfram, LLC
NPI 1124619630 · Registered Dietitian · La Grange, IL
Provider details
- NPI number
- 1124619630
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Taylor Wolfram, Owner(815) 980-7949
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
421 7th Ave
La Grange, IL 60525-6409
Phone: (312) 646-0886
Street-level locationGet directions
Mailing address
121 W Hillgrove Ave Unit 278
La Grange, IL 60525-1011
Registry dates
- Enumerated
- 2021-01-27
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.