Organization
NUTRITION AMBITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA GERRY MS RD LDN (DIETITIAN)
(708) 446-4355
Entity
Organization
Contact information
Practice address
6830 W WINDING TRL UNIT 102, OAK FOREST, IL 60452-5216
(708) 446-4355
Mailing address
6830 W WINDING TRL UNIT 102, OAK FOREST, IL 60452-5216
(708) 446-4355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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