Organization
ENCOURAGED TO NOURISH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA COLEMAN RDN, LDN, CSSD (FOUNDER, DIETITIAN)
(312) 401-5111
Entity
Organization
Contact information
Practice address
240 RED OAK RD, NORTHBROOK, IL 60062-1319
(312) 401-5111
Mailing address
240 RED OAK RD, NORTHBROOK, IL 60062-1319
(312) 401-5111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.004614
LICENSED DIETITIAN NUTRITIONIST
IL
01
—
954008
REGISTERED DIETITIAN NUTRITIONIST (CDR)
—
Enumeration date
07/10/2020
Last updated
07/10/2020
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