Organization
MYNUTRITIONGOALS.COM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MANOJLOVSKI (OWNER/DIETITIAN)
(773) 354-4944
Entity
Organization
Contact information
Practice address
288 DICKENS ST, NORTHFIELD, IL 60093-3225
(773) 354-4944
(844) 692-0008
Mailing address
288 DICKENS ST, NORTHFIELD, IL 60093-3225
(773) 354-4944
(844) 692-0008
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
878730
IL
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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