Active NPI
Intuitive Balance Nutrition, PLLC
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1760116693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- INTUITIVE BALANCE NUTRITION, PLLC
- Practice address
- 77 W Washington St Ste 1620
Chicago, IL 60602-3218 - Phone
- (847) 721-8030
- Fax
- (312) 641-6214
- NPI assigned
- Jul 15, 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
- Allison B Shudnow, MS, RDN, LDN, CEDS-S
- Title
- Member
- Phone
- (847) 721-8030
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
77 W Washington St Ste 1620
Chicago, IL 60602-3218
Mailing address
77 W Washington St Ste 1620
Chicago, IL 60602-3218
Phone (847) 721-8030
National Provider Directory
National Provider DirectoryLocations
77 W Washington St
Ste 1620
Chicago, IL 60602
Phone (847) 721-8030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Chicago, IL
- NPI 1134463136
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1760116693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W WASHINGTON ST STE 1620",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023218",
"telephone_number": "847-721-8030",
"fax_number": "312-641-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W WASHINGTON ST STE 1620",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023218",
"telephone_number": "847-721-8030",
"fax_number": "312-641-6214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTUITIVE BALANCE NUTRITION, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-15",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "SHUDNOW",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "847-721-8030",
"authorized_official_credential": "MS, RDN, LDN, CEDS-S"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-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 Sep 13, 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.