Organization
NUTRIQUITY NWI LLC
Active
Other names
Nutriquity
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GLAB MS, RD, LDN (OWNER/REGISTERED DIETITIAN)
(708) 902-4522
Entity
Organization
Contact information
Practice address
6430 WEST 86TH AVENUE, CROWN POINT, IN 46307
(708) 902-4522
Mailing address
6430 WEST 86TH AVENUE, CROWN POINT, IN 46307
(708) 902-4522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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