Organization
NUTRILY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIVIA LY (REGISTERED DIETITIAN/OWNER)
(312) 870-0150
Entity
Organization
Contact information
Practice address
1212 N LASALLE DR, 608, CHICAGO, IL 60610
(312) 870-0150
Mailing address
1212 N LASALLE DR, 608, CHICAGO, IL 60610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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