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RISING ROOT NUTRITION LLC NPI 1649817768


NPI Information

NPI: 1649817768
Provider Name: RISING ROOT NUTRITION LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2835 N SHEFFIELD AVE STE 511
CHICAGO, IL
ZIP 60657
Phone: (773) 241-1747
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RISING ROOT NUTRITION LLC is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RISING ROOT NUTRITION LLC NPI is 1649817768. The provider is registered as an organization entity type.

The provider's business location address is:

2835 N SHEFFIELD AVE STE 511
CHICAGO, IL
ZIP 60657-081
Phone: (773) 241-1747
Fax: (773) 787-2181

The provider's authorized official is Erika Kimberly Siesennop .
The authorized official title is Dietitian and has the following contact phone number (773) 241-1747.

The enumeration date for this NPI number is 12/9/2019 and was last updated on 12/9/2019.


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
1261Q00000XClinic/CenterYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.