Organization
NUTRITION COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A VIMBOR MS, RD, LDN, CDN (OWNER)
(312) 235-0050
Entity
Organization
Contact information
Practice address
410 S MICHIGAN AVE, STE 631, CHICAGO, IL 60605-1308
(312) 235-0050
Mailing address
410 SOUTH MICHIGAN AVENUE, SUITE 631, CHICAGO, IL 60605-1308
(312) 235-0050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004712
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122350050
—
IL
Enumeration date
04/09/2010
Last updated
04/09/2010
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