Ayesha Shafeeq, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.008943 Issued in IL

Practice address

4201 Lake Cook Rd Ste 200
Northbrook, IL 60062-1060

Phone

(630) 660-1776

NPI assigned

Feb 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1275230930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 MARMORA AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533018",
            "telephone_number": "630-660-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE COOK RD STE 200",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621060",
            "telephone_number": "630-660-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFEEQ",
        "first_name": "AYESHA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.008943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew B Serlin, D.C.
• Sierra Rose Serrano, RBT- 19-82747
• Akhil Kumar Seth, M.D.
• Megan Sharon Seth, LPC
• Kristin A Shackleton, RBT-19-78960
• Dipeshkumar Shah, MD
• Mansi S Shah
• Fatima Shahid I
• Talia Shaked, MA
• Michelle Shalin, LCPC

• Registered Dietitian in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.