Organization
THE FOOD THERAPIST, PLLC
Active
Other names
The Food Therapist, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE MALLIK RD (MANAGER)
(415) 640-6148
Entity
Organization
Contact information
Practice address
389 RIDGE AVE, WINNETKA, IL 60093-2517
(415) 640-6148
Mailing address
PO BOX 502, WINNETKA, IL 60093-0502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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