Provider Demographics
NPI:1114385804
Name:SHARKEY, HANNAH (RDN, LDN, CEDS)
Entity Type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:
Last Name:SHARKEY
Suffix:
Gender:F
Credentials:RDN, LDN, CEDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 S MICHIGAN AVE APT 2702
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3046
Mailing Address - Country:US
Mailing Address - Phone:815-590-1613
Mailing Address - Fax:
Practice Address - Street 1:150 E HURON ST FL 13
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2999
Practice Address - Country:US
Practice Address - Phone:312-847-5312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA080755133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered