OrganizationActive
Rebel Nutrition PLLC
NPI 1467207852 · Registered Dietitian · Chicago, IL
Rebel Nutrition PLLC is a Registered Dietitian organization in Chicago, IL (NPI 1467207852).
Provider details
- NPI number
- 1467207852
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Reanna Peterman, Manager(815) 409-8501
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1919 W Taylor St
Chicago, IL 60612-7246
Phone: (815) 409-8501
Street-level locationGet directions
Mailing address
831 Cedar Cir
Manteno, IL 60950-1820
Registry dates
- Enumerated
- 2024-04-19
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Frequently asked questions
- What is Rebel Nutrition PLLC's NPI number?
- Rebel Nutrition PLLC's National Provider Identifier (NPI) is 1467207852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rebel Nutrition PLLC?
- Rebel Nutrition PLLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Rebel Nutrition PLLC located?
- Rebel Nutrition PLLC's practice location on file with NPPES is 1919 W Taylor St, Chicago, IL 60612-7246.
- What is Rebel Nutrition PLLC's phone number?
- The practice phone number listed in the NPPES registry for Rebel Nutrition PLLC is (815) 409-8501.
- Who is the authorized official for Rebel Nutrition PLLC?
- The authorized official listed on Rebel Nutrition PLLC's NPPES record is Reanna Peterman, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rebel Nutrition PLLC's NPI active?
- Yes — Rebel Nutrition PLLC's NPI (1467207852) is active in the NPPES registry as of the last update on 2025-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.