Organization
KOKOBERNA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA BASSEY EPHRAIM (PRESIDENT)
(312) 380-9441
Entity
Organization
Contact information
Practice address
900 N MICHIGAN AVE FL 5, CHICAGO, IL 60611-1542
(312) 380-9441
Mailing address
900 N MICHIGAN AVE FL 5, CHICAGO, IL 60611-1542
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
175F00000X
Naturopath
—
—
202D00000X
Integrative Medicine Physician
Primary
—
—
364SW0102X
Women's Health Clinical Nurse Specialist
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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