Provider Demographics
NPI:1083079263
Name:PILARSKI, ELISA LYNNE (MS, RD, LD)
Entity type:Individual
Prefix:MS
First Name:ELISA
Middle Name:LYNNE
Last Name:PILARSKI
Suffix:
Gender:
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:ELISA
Other - Middle Name:LYNNE
Other - Last Name:PILARSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LD
Mailing Address - Street 1:520 W HURON ST APT 205
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-3434
Mailing Address - Country:US
Mailing Address - Phone:563-676-1126
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-467-8375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
IA079038133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered