Organization
HEALTH LOFT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEAH MICHELLE PHILLIPS (BILLING AND CREDENTIALING MANAGER)
(901) 205-3999
Entity
Organization
Contact information
Practice address
2027 W DIVISION ST # 120, CHICAGO, IL 60622-9024
(855) 552-5557
Mailing address
PO BOX 735912, CHICAGO, IL 60673-5912
(516) 998-5053
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
03/17/2026
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