NPIMap

Organization Active NPI

Specialty Integrative Nutrition, LLC

  • Nutritionist
  • Chicago, IL
National Provider Identifier
1588298699
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
SPECIALTY INTEGRATIVE NUTRITION, LLC
Practice address
939 W North Ave Ste 650
Chicago, IL 60642-1231
Phone
(773) 377-8000
NPI assigned
Feb 27, 2020
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Michael Aaron Mlnarik, LDNNPI 1275166886
Title
Member/Manager
Phone
(773) 234-7397

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)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

939 W North Ave Ste 650
Chicago, IL 60642-1231

Mailing address

939 W North Ave Ste 650
Chicago, IL 60642-1231
Phone (773) 234-7397

National Provider Directory

National Provider Directory

Locations

939 W North Ave
Ste 650
Chicago, IL 60642
Phone (773) 377-8000

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1588298699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 650",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421231",
            "telephone_number": "773-234-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 650",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421231",
            "telephone_number": "773-377-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY INTEGRATIVE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "MLNARIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "773-234-7397",
        "authorized_official_credential": "LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "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 Feb 27, 2020; 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.