Obrien, Shannon

Obrien, Shannon is an individual health care provider with primary practice located at 840 S Wood St Fl 12 , Chicago IL 60612-4325. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Obrien, Shannon can be contacted via phone (312) 355-0732.

Contact Information

Primary practice address
840 S Wood St Fl 12 Chicago IL 60612-4325
Phone: (312) 355-0732
Fax: (312) 355-0739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 164006040 Illinois

Profile Details

NPI number 1023609120
LBN Legal business name Obrien, Shannon
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2021
Last updated May 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023609120 NPPES
Illinois Other 164006040 LICENSED DIETITIAN NUTRITIONIST

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