Organization
TOTAL NUTRITION SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA MARIE PHILLIPS (OWNER/PRESIDENT)
(630) 865-2529
Entity
Organization
Contact information
Practice address
2262 119TH PL, BLUE ISLAND, IL 60406-1123
(708) 385-0882
Mailing address
2262 WEST 119TH PL, BLUE ISLAND, IL 60406-1123
(708) 385-0882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
164003956
IL
Other
Enumeration date
01/13/2016
Last updated
02/15/2016
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