Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093351652 Individual Practitioner Female Practitioner

Mary Layne Graham , BS, RDN, LDN

Dietitian, Registered • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Mary Graham, BS, RDN, LDN is a registered healthcare professional specializing in Dietitian, Registered in Chicago, IL. Practice services are available at 1409 W CARROLL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1409 W Carroll Ave

Chicago, IL 606071105

Telephone 3127330883
Associated Practice Facility / Clinic
🏢 Eyas Landing, Inc. Facility NPI 1053621391

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
943 Specialists

Practicing in Chicago, IL (2895 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-18
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Liberty Abegglen

Behavior Technician

NPI 1013770304
Kevin O'malley , BA

Specialist/Technologist

NPI 1023474806

Bachelor of Arts

Allyson Sussman , MS

Speech-Language Pathologist

NPI 1023707163

Master of Science

Marcela Garcia

Speech-Language Pathologist

NPI 1033095229
Samantha Friedberg

Speech-Language Pathologist

NPI 1033770599
Regina Garza Elizondo

Behavior Technician

NPI 1043086622

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 18, 2021

Registered at 1409 W CARROLL AVE, CHICAGO, IL 606071105 (Tel: 3127330883)

📍
Updated Business Mailing Address November 18, 2021

Registered at 1458 N BOSWORTH AVE APT 3M, CHICAGO, IL 606422380 (Tel: 6308888586)

NPI Profile Active November 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2019

Registered at 1000 N HUMPHREYS ST STE 210, FLAGSTAFF, AZ 860013125 (Tel: 9282143689)

📍
Updated Business Mailing Address November 19, 2019

Registered at 1000 N HUMPHREYS ST STE 210, FLAGSTAFF, AZ 860013125 (Tel: 9282143689)

👤
Provider Name / Credentials Updated November 19, 2019

Recorded as MARY GRAHAM, BS, RDN, LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2019

Dietitian, Registered

🟢
Initial NPI Registration & Enumeration November 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093351652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2019
Last Update: November 18, 2021
Sole Proprietor: No

Mailing Address

1458 N Bosworth Ave Apt 3m

Chicago, IL 606422380

Phone: 6308888586

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.