Active NPI
Rebecca H Balinnang, MS, RD, LDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1326350737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1001785
- Practice address
- 850 W Irving Park Rd
Chicago, IL 60613-3077 - Phone
- (773) 975-6709
- Fax
- (773) 975-3255
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1001785 | IN | Primary |
Addresses
Primary practice location
850 W Irving Park Rd
Chicago, IL 60613-3077
Mailing address
7658 Creek BND
Rockford, IL 61114-6667
Other practice location 1
129 Phelps Ave
Suite 204
Rockford, IL 61108-2453
Phone (219) 743-5393
Other names 1
- Rebecca A Hannon
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001785 | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1326350737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7658 CREEK BND",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611146667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133077",
"telephone_number": "773-975-6709",
"fax_number": "773-975-3255"
}
],
"practiceLocations": [
{
"address_1": "129 Phelps Ave",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611082453",
"country_code": "US",
"telephone_number": "219-743-5393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALINNANG",
"first_name": "REBECCA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "1001785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "HANNON",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.