Organization Active NPI

Intuitive Balance Nutrition, PLLC

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1760116693
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Sep 13, 2022

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-SNPI 1134463136
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)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.