Organization
EXERCISING NUTRITIONALLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG E BROEDER PH.D. FACSM, FNAASO (CEO/FOUNDER)
(630) 303-3686
Entity
Organization
Contact information
Practice address
4225 NAPERVILLE RD, ENLLC LOCATED WITHIN LIFESTART FITNESS CENTER, LISLE, IL 60532-3656
(630) 303-3686
Mailing address
1943 PHAETON CT, NAPERVILLE, IL 60565-2410
(630) 303-3686
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2013
Last updated
06/15/2013
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