Fitness Formula, Ltd

NPI 1033596440 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1033596440
Enumeration Date 05/05/2015
Last Updated 05/05/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BRIAN BRIAN
Position CFO
Phone (312) 648-4666
Fax (312) 648-0155
Practice Location
619 W JACKSON BLVD
CHICAGO IL, 60661-5606, US
Phone (312) 648-4666
Fax (312) 648-0155
Business Location
619 W JACKSON BLVD
CHICAGO IL, 60661-5606, US
Phone (312) 648-4666
Fax (312) 648-0155
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
Remove 1033596440 NPI Number
 

According to our database, Fitness Formula, Ltd NPI is 1033596440, taxonomy code is 133V00000X Fitness Formula, Ltd physically located at 619 W Jackson Blvd, Chicago IL, 60661-5606. NPI Number 1033115704 has the healthcare provider type.

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1033596440 NPI number is provided on an as is basis without warranty of any kind. 1033596440 is maintained by the National Plan & Provider Enumeration System. The contents of Fitness Formula, Ltd are for informational purposes only.