Organization
NU-ATRICS: PEDIATRIC NUTRITION & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIAN L. BACHMAN DC, MS (PRESIDENT)
(815) 419-8757
Entity
Organization
Contact information
Practice address
211 W WILLOW ST, FAIRBURY, IL 61739-1172
(309) 807-3323
Mailing address
211 W WILLOW ST, FAIRBURY, IL 61739-1172
(815) 419-8757
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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