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Organization
THE FOOD THERAPIST, PLLC
Active
Organization
THE FOOD THERAPIST, PLLC
Active
Other names
The Food Therapist, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE MALLIK RD (MANAGER)
(415) 640-6148
Entity
Organization
Contact information
Practice address
389 RIDGE AVE, WINNETKA, IL 60093-2517
(415) 640-6148
Mailing address
PO BOX 502, WINNETKA, IL 60093-0502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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