SHANNON OBRIEN RD NPI 1023609120

NPI Information

  • NPI: 1023609120
  • Provider Name: SHANNON OBRIEN, RD
  • Classification: Dietitian, Registered - 133VN1006X
  • Specialization: Nutrition, Metabolic
  • Entity Type: Individual
  • Address: 840 S WOOD ST FL 12
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 355-0732

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NPI Details

Shannon Obrien, RD is a nutrition and metabolic dietitian registered in Chicago, IL. The provider is a registered dietitian who achieves specialized competency in metabolic nutrition. Shannon Obrien, RD NPI is 1023609120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

840 S WOOD ST FL 12
CHICAGO, IL
ZIP 60612-325
Phone: (312) 355-0732
Fax: (312) 355-0739

The enumeration date for this NPI number is 2/1/2021 and was last updated on 5/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1006XDietitian, RegisteredNutrition, Metabolic164006040ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1164006040OTHERILLINOISLICENSED DIETITIAN NUTRITIONIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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