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Organization

NOURISHERPA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER STOTLAR ND, CNS, LDN (OWNER)
(847) 748-0414
Entity
Organization

Contact information

Practice address
1135 MCHENRY RD, BUFFALO GROVE, IL 60089-1369
(847) 748-0414
(847) 748-0412
Mailing address
20745 N MEADOWS CT, KILDEER, IL 60047-7829
(847) 748-0414
(847) 748-0412

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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