ANDREA RAE O'DONNELL RD, LDN
NPI 1740710060
Dietitian, Registered in Chicago, IL

Active since June 19, 2017
2865 N CLYBOURN AVE, CHICAGO, IL 60618(773) 270-0469 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 19, 2017 (2 updates tracked since 2017).

  • Individual
  • Female
  • Dietitian, Registered

About ANDREA O'DONNELL

This page provides the complete NPI Profile along with additional information for Andrea O'donnell, a provider established in Chicago, Illinois with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1740710060 assigned on June 2017. The practitioner's primary taxonomy code is 133V00000X with license number 983479 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago. Andrea O'donnell operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1740710060 Verify this NPI
Provider Name
ANDREA RAE O'DONNELL RD, LDN
Gender
Female
Entity Type
Individual
Location Address
2865 N CLYBOURN AVE CHICAGO, IL 60618
Location Phone
(773) 270-0469
Mailing Address
2865 N CLYBOURN AVE CHICAGO, IL 60618
Mailing Phone
(773) 270-0469
Is Sole Proprietor?
Yes
Enumeration Date
06-19-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
983479
License State
IL
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133N00000XDietary & Nutritional Service Providers

Nutritionist

(IL)
2133NN1002XDietary & Nutritional Service Providers

Nutritionist
Nutrition, Education

(IL)
3133VN1004XDietary & Nutritional Service Providers

Dietitian, Registered
Nutrition, Pediatric

(IL)
4133VN1005XDietary & Nutritional Service Providers

Dietitian, Registered
Nutrition, Renal

(IL)
5133VN1006XDietary & Nutritional Service Providers

Dietitian, Registered
Nutrition, Metabolic

(IL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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Social Worker
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Social Worker (Clinical)
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CHICAGO, IL 60618
Counselor (Professional)
2865 N CLYBOURN AVE
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Counselor (Professional)
2865 N CLYBOURN AVE
CHICAGO, IL 60618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740710060, enumerated as an "individual" on June 19, 2017.

The provider is located at 2865 N CLYBOURN AVE CHICAGO, IL 60618 and the phone number is (773) 270-0469.

Dietitian, Registered with taxonomy code 133V00000X.