Organization
NUTRIQUITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GLAB MS, RD, LDN (OWNER/REGISTERED DIETITIAN)
(708) 902-4522
Entity
Organization
Contact information
Practice address
1165 S CUYLER AVE, OAK PARK, IL 60304-2239
(708) 902-4522
Mailing address
1165 S CUYLER AVE, OAK PARK, IL 60304-2239
(708) 902-4522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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