Organization
SOLID GROUND NUTRITION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MACKOWIAK RDN, LDN, CEDS (OWNER, DIETITIAN)
(708) 462-2707
Entity
Organization
Contact information
Practice address
5243 S NORMANDY AVE, CHICAGO, IL 60638-1227
(773) 316-2737
Mailing address
106 W CALENDAR AVE # 191, LA GRANGE, IL 60525-2325
(708) 462-2707
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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