Organization
VISION NUTRITION COUNSELING, LLC
Active
Other names
Vision Nutrition Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA RAE GARMAN RDN (FOUNDER)
(615) 484-5278
Entity
Organization
Contact information
Practice address
1644 N HONORE ST STE 106, CHICAGO, IL 60622-1375
(615) 484-5278
Mailing address
4247 N AVERS AVE, CHICAGO, IL 60618-1801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740710060
BLUE CROSS BLUE SHIELD, UNITED HEALTHCARE
IL
Enumeration date
07/18/2022
Last updated
07/18/2022
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