Laura Marie Seweryn, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164001840 Issued in IL

Practice address

10400 Southwest Hwy
Lower Level
Chicago Ridge, IL 60415-1367

Phone

(708) 581-7308

Fax

(708) 581-7309

NPI assigned

May 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1306050471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10943 MAJOR AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152410",
            "telephone_number": "708-422-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 SOUTHWEST HWY",
            "address_2": "LOWER LEVEL",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151367",
            "telephone_number": "708-581-7308",
            "fax_number": "708-581-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWERYN",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164001840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1467471540",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark S. Sblendorio, O.D.
• Jennifer L Schmidt, PSYD
• Rae Louise Scimeeca, MD
• Sawliha Seedat
• Senior Center Daycare, Inc.
• Birva K Shah, O.D.
• Nidhi J Shah
• Robert E Share, M.D.
• Linas A. Sidrys, M.D.
• Ava Silva

• Registered Dietitian in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.