Organization
RISING ROOT NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA KIMBERLY SIESENNOP MS, RD, LDN (DIETITIAN)
(773) 241-1747
Entity
Organization
Contact information
Practice address
2835 N SHEFFIELD AVE STE 511, CHICAGO, IL 60657-5081
(773) 241-1747
(773) 787-2181
Mailing address
2835 N SHEFFIELD AVE STE 511, CHICAGO, IL 60657-5081
(773) 241-1747
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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