MEDICARE: STEPHANIE NICHOLE QUINT MS, RD, LDN, CHES

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	10239769	OR
2	133V00000X	Registered Dietitian	ND13102	FL
3	133V00000X	Registered Dietitian	164.007172	IL
4	133V00000X	Registered Dietitian	108680	IA
5	133V00000X	Registered Dietitian	3240	WI
6	133V00000X	Registered Dietitian	2014	WV
7	133V00000X	Registered Dietitian	DX8525	MD

General Provider Information

NPI Number	:	1528650736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE NICHOLE QUINT MS, RD, LDN, CHES

Provider Business Mailing Address
First Line	:	202 W FOX HILL DR
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-7706
Country	:	US
Telephone Number	:	847-668-1639
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 W DIVISION ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3939
Country	:	US
Telephone Number	:	855-552-5557
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2021
Last Update Date	:	05/04/2026

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