Organization
GRACEFULL NUTRITION COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE STOKES MS RDN LDN (OWNER, REGISTERED DIETITIAN)
(331) 472-0124
Entity
Organization
Contact information
Practice address
119 S WESTERN AVE STE 164, CHICAGO, IL 60612-4643
(331) 472-0124
Mailing address
119 S WESTERN AVE STE 164, CHICAGO, IL 60612-4643
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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