Organization
CHICAGO NUTRITION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHEAFFER MS RDN LDN (CEO/ RDN)
(847) 609-9101
Entity
Organization
Contact information
Practice address
625 W ADAMS ST # 20-144, CHICAGO, IL 60661-3603
(847) 609-9101
Mailing address
1040 W ADAMS ST UNIT 375, CHICAGO, IL 60607-3090
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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