Individual provider Active NPI

Allison Brooke Shudnow, MS, RD, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1134463136
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164004286 Issued in IL
Practice address
77 W Washington St
Suite 1620
Chicago, IL 60602-2801
Phone
(847) 721-8030
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164004286 IL Primary

Addresses

Primary practice location

77 W Washington St
Suite 1620
Chicago, IL 60602-2801

Mailing address

77 W Washington St
Suite 1620
Chicago, IL 60602-2801
Phone (847) 721-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164004286ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Intuitive Balance Nutrition, PLLC Dietitian, Registered CurrentSince Jul 17, 2022 Accepting new patients

Locations

77 W Washington St
Ste 1620
Chicago, IL 60602
Phone (847) 721-8030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1134463136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "address_2": "SUITE 1620",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022801",
            "telephone_number": "847-721-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "address_2": "SUITE 1620",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022801",
            "telephone_number": "847-721-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUDNOW",
        "first_name": "ALLISON",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.