# WALSH NUTRITION GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992299788
- **Authorized official:** LAURA WALSH RDN, LDN, CPT (PRESIDENT)
- **Authorized official phone:** (630) 308-8706

## Contact information

- **Practice address:** 1333 BURR RIDGE PKWY STE 200, BURR RIDGE, IL 60527-0833
- **Practice address phone:** (630) 308-8706
- **Mailing address:** 808 S ASHLAND AVE, LA GRANGE, IL 60525-2817
- **Mailing address phone:** (630) 308-8706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | 164002859 | IL | Yes |

## Other

- **Enumeration date:** 06/15/2018
- **Last updated:** 06/15/2018