Provider Demographics
NPI:1174318745
Name:ERLECHMAN, JILLIAN (RDN)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:ERLECHMAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 RAES CREEK CT
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-6615
Mailing Address - Country:US
Mailing Address - Phone:630-995-5492
Mailing Address - Fax:
Practice Address - Street 1:8 RAES CREEK CT
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-6615
Practice Address - Country:US
Practice Address - Phone:630-995-5492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.010330133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered