Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PHC OF BUFFALO GROVE NUTRITION
Active
Organization
PHC OF BUFFALO GROVE NUTRITION
Active
Other names
Portrait Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WARNER (PRACTICE MANAGER)
(847) 868-3435
Entity
Organization
Contact information
Practice address
175 E HAWTHORN PKWY, SUITE 235, VERNON HILLS, IL 60061-1463
(847) 868-3435
(847) 859-5855
Mailing address
175 E HAWTHORN PKWY, SUITE 235, VERNON HILLS, IL 60061-1463
(847) 868-3435
(847) 859-5855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005333
IL
Other
Enumeration date
11/16/2010
Last updated
09/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up