SHANNON OBRIEN
Dietitian, Registered (Nutrition, Metabolic)

Address: 840 S Wood St Fl 12, Chicago, IL 60612-4325

SHANNON OBRIEN (NPI# 1023609120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023609120
Entity Type Individual
Full Name SHANNON OBRIEN
Gender Female
Credential RD
Practice Address 840 S Wood St Fl 12
Chicago
IL 60612-4325
Practice Telephone 3123550732
Practice Fax Number 3123550739
Mailing Address 728 Clinton Ave
Oak Park
IL 60304-1115
Mailing Telephone 7085093932
Certification Date 2021-02-01
Enumeration Date 2021-02-01
Last Update Date 2021-02-01
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
164006040 IL Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL LICENSED DIETITIAN NUTRITIONIST 164006040 Other

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1568968998 Shannon Obrien 2 Brainard Rd, Wilbraham, MA 01095-1402 2018-04-04
1861976425 Shannon Obrien 11877 E Arapahoe Rd, Centennial, CO 80112-3884 2018-09-19
1619361565 Shannon Obrien 6505 218th St Sw Ste 9, Mountlake Terrace, WA 98043-2135 2015-03-27

Office Location

Street Address 840 S WOOD ST FL 12
City CHICAGO
State IL
Zip Code 60612-4325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104417294 Jamie Ray Dietitian, Registered · Nutrition, Pediatric 840 S Wood St Fl 12, Chicago, IL 60612-4325 2021-02-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089805 Aldon Jay Whitehead Student in an Organized Health Care Education/Training Program 840 S Wood St Rm 427, Chicago, IL 60612-4325 2020-03-25
1881239168 Amy Bachman Registered Nurse · Medical-Surgical 840 S Wood St Ste 435ecsb, Chicago, IL 60612-4325 2019-11-11
1851955462 Luther Walls Student in an Organized Health Care Education/Training Program 1919 W. Taylor Street, Rm 175 (mc 663), Chicago, IL 60612-4325 2019-04-29
1770041949 Laura Ann Ryan Physician Assistant · Surgical 840 S Wood St Ste 417, Chicago, IL 60612-4325 2019-03-06
1548765241 Farah Al Rahmani · Farrah Rahmani Student in an Organized Health Care Education/Training Program 840 S Wood St Ste 376csn, Chicago, IL 60612-4325 2018-03-26
1053815340 Rembrandt Vandruff Student in an Organized Health Care Education/Training Program 840 S Wood St Ste 376-Csn, Chicago, IL 60612-4325 2018-03-21
1811491137 Michelle Laurine Firlit Obstetrics & Gynecology 820 S Wood St Ste 100, Chicago, IL 60612-4325 2018-03-21
1700395084 Liang Hong Specialist · Research Study 840 S Wood St Ste 1133, Chicago, IL 60612-4325 2017-09-29
1275052474 Stephanie Carol Tiwari Nurse Practitioner 840 S Wood St Fl 9, Chicago, IL 60612-4325 2017-09-19
1295267136 Caitlin Lopes Student in an Organized Health Care Education/Training Program 820 S Wood St Mc 675, Dept of Gme, Chicago, IL 60612-4325 2017-03-30
Find all providers in zip 60612-4325

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1649874561 Kimberly Krupa Tadros Pharmacist Vamc Outpatient Pharmacy, 820 S Damen Ave, Chicago, IL 60612 2020-11-23
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-Konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-S (mc 913), Chicago, IL 60612 2020-04-21
Find all providers in zip 60612

Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497228456 The Angelo Method Tam LLC 5440 N Cumberland Ave Ste 225, Chicago, IL 60656-1531 2019-01-02
1013300607 Krista Engen · Krista Shawron 840 S Wood St Fl Mc85612, Chicago, IL 60612-4325 2015-03-06
1922238989 Siu Mui Carman Cheng 2850 S Michigan Ave, Chicago, IL 60616-5018 2009-07-23
1477045763 Andrea Williams 800 E 55th St, Chicago, IL 60615-4906 2018-06-01
1114425618 Neda Khudeira 8071 S Cicero Ave, Chicago, IL 60652-2003 2018-01-30
1235534884 Julie Bendix 6821 S Halsted St, Chicago, IL 60621-1833 2014-10-24
1215282868 Avellino Group, Ltd 4256 N Ravenswood Ave, Suite 221, Chicago, IL 60613-1110 2012-07-19
1467615419 Margarita Nagy 2020 W Harrison St, Chicago, IL 60612-3741 2008-07-09
1689775199 Mary Julia Dyra 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497228456 The Angelo Method Tam LLC 5440 N Cumberland Ave Ste 225, Chicago, IL 60656-1531 2019-01-02
1013300607 Krista Engen · Krista Shawron 840 S Wood St Fl Mc85612, Chicago, IL 60612-4325 2015-03-06
1568893535 Jason Caraballo 1002 Monticello Dr, Aurora, IL 60506-5740 2013-12-02
1073847539 Luz Adriana Sancen De Brown · Luz Brown 2009 Elm St, Quincy, IL 62301-3233 2009-09-30
1922238989 Siu Mui Carman Cheng 2850 S Michigan Ave, Chicago, IL 60616-5018 2009-07-23
1457506214 Corporate Wellness Inc · Complete Wellness 2272 W 95th St Ste 305, Naperville, IL 60564-8944 2008-11-20
1629227913 Harriet Shelley Salzberg 276 Chicory Ln, Buffalo Grove, IL 60089-1835 2008-09-11
1053456384 Susan Kagen Podell 560 N Midlothian Rd, Suite 400, Mundelein, IL 60060-1654 2007-02-21
1992299788 Walsh Nutrition Group, Inc. 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 2018-06-15
1639663412 Laura Walsh 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 2018-06-15
Find all providers in the same taxonomy

Competitor

Search similar providers

City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.