Active NPI
Shein Nutrition, LLC
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1316698780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SHEIN NUTRITION, LLC
- Practice address
- 2047 N Clifton Ave
Chicago, IL 60614-4119 - Phone
- (708) 927-8975
- NPI assigned
- Jan 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samara Shein, RD
- Title
- Founder/Registered Dietitian
- Phone
- (708) 927-8975
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2047 N Clifton Ave
Chicago, IL 60614-4119
Mailing address
1501 Crown LN
Glenview, IL 60025-1260
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642377600000",
"number": "1316698780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 CROWN LN",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600251260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 N CLIFTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144119",
"telephone_number": "708-927-8975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEIN NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A",
"authorized_official_last_name": "SHEIN",
"authorized_official_first_name": "SAMARA",
"authorized_official_title_or_position": "FOUNDER/REGISTERED DIETITIAN",
"authorized_official_telephone_number": "708-927-8975",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.