A New Leaf Natural Medicine LLC
NPI 1104306240ActiveOrganization· Dietitian, Registered· Evanston, IL
Dietitian, Registered in Evanston, Illinois, registered in NPPES in August 2018. The authorized official on file is Bonnie Lynn Brock, MPH, RD, LDN, ND, Sole Member.
Overview
| NPI | 1104306240 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2018 |
| Last updated in NPPES | Oct 10, 2020 |
| Certified by provider | Oct 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1640006979 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dietitian, Registered providers in Evanston
- 1215376918
- 1568268423
- 1053941112
- 1558268482
- 1295375343
- 1811173461
- 1154995165
- 1679160741
- 1891366829
- 1912124504
- 1437939345
- 1245798867