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FITNESS FORMULA LTD NPI 1033596440


NPI Information

NPI: 1033596440
Provider Name: FITNESS FORMULA, LTD

Doing Business As: FORMULIFERX

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
619 W JACKSON BLVD
CHICAGO, IL
ZIP 60661
Phone: (312) 648-4666
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FITNESS FORMULA, LTD is a dietitian registered in Chicago, IL. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. FITNESS FORMULA, LTD NPI is 1033596440. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Formuliferx.

The provider's business location address is:

619 W JACKSON BLVD
CHICAGO, IL
ZIP 60661-606
Phone: (312) 648-4666
Fax: (312) 648-0155

The provider's authorized official is Brian Singleton .
The authorized official title is Cfo and has the following contact phone number (312) 648-4666.

The enumeration date for this NPI number is 5/5/2015 and was last updated on 5/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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