Wellformed AI

NPI 1881539062 · live from the CMS NPI Registry

Sarah Abu-Ghannam, MS, RDN, LDN

Dietitian, Registered in Glenview, IL. National Provider Identifier 1881539062, active.

NPI record

NPI1881539062 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location3633 W Lake Ave Ste 401, Glenview, IL 60026
Practice phone224-806-5511
Mailing address468 W Melrose St Apt 366, Chicago, IL 60657
EnumeratedApril 22, 2026
Last updatedApril 22, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X164024021 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.