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Organization

FITNESS IS NOT A GAME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTAL TAYLOR (OWNER)
(779) 324-0906
Entity
Organization

Contact information

Practice address
17716 GRANDVIEW DR, HAZEL CREST, IL 60429-2135
(708) 466-3155
Mailing address
17716 GRANDVIEW DR, HAZEL CREST, IL 60429-2135
(708) 466-3155

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
02/10/2022
Last updated
02/10/2022
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Product
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  • Eligibility checks
  • EDI platform