Organization
REAL FOODS COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH MORA MS, RDN, LDN, CDCES (EXECUTIVE DIRECTOR)
(708) 574-8170
Entity
Organization
Contact information
Practice address
815 LEXINGTON ST, MAYWOOD, IL 60153-3245
(708) 574-8170
Mailing address
602 N 3RD AVE, MAYWOOD, IL 60153-1118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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