IndividualActive
Jason Caraballo, RD/LDN
NPI 1568893535 · Metabolic Nutrition Registered Dietitian · Lisle, IL
Provider details
- NPI number
- 1568893535
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD/LDN
- Sex
- Male
- Sole proprietor
- No
- License
- 164005934 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
430 Warrenville Rd Ste 300
Lisle, IL 60532-1348
Phone: (630) 364-7850
Fax: (630) 432-6604
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 713260
Chicago, IL 60677-1260
Registry dates
- Enumerated
- 2013-12-02
- Last updated
- 2023-07-13
- Certified
- 2023-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.