Gregory Tabaka
Dietitian, Registered in Hines, IL. Individual provider (NPI-1).
NPI number1508352014
StatusActive
Last updated in NPPESJul 9, 2018
Details
- NPI
- 1508352014
- Entity type
- Individual (NPI-1)
- Name
- Gregory Tabaka
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2018
- Last updated
- Jul 9, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
5000 S 5th AveHines, IL 60141-3030
Phone 708-202-8387
Mailing address
5000 S 5th AveHines, IL 60141-3030
Phone 708-202-8387
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All 57 Registered Dietitian providers in Hines · All 1,879 providers in Hines
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