MEDICARE: MATTHEW TUNNEY NUTRITION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1518817923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATTHEW TUNNEY NUTRITION LLC

Provider Business Mailing Address
First Line	:	8000 W 159TH ST STE 2S
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-5459
Country	:	US
Telephone Number	:	708-606-5375
Fax Number	:

Provider Business Practice Location Address
First Line	:	1509 S HALSTED ST UNIT 107
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-5124
Country	:	US
Telephone Number	:	708-606-5375
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. MATTHEW TUNNEY
Credential	:	RD, LDN
Telephone Number	:	708-606-5375

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/09/2026

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