EXERCISING NUTRITIONALLY LLC NPI 1629417357

NPI Information

NPI: 1629417357
Provider Name: EXERCISING NUTRITIONALLY, LLC
Classification: Clinic/Center - 261QR1100X
Entity Type: Organization

Specialization: Research

Address:
4225 NAPERVILLE RD
ENLLC LOCATED WITHIN LIFESTART FITNESS CENTER
LISLE, IL
ZIP 60532
Phone: (630) 303-3686
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EXERCISING NUTRITIONALLY, LLC is a research clinic center in Lisle, IL. EXERCISING NUTRITIONALLY, LLC NPI is 1629417357. The provider is registered as an organization entity type.

The provider's business location address is:

4225 NAPERVILLE RD
ENLLC LOCATED WITHIN LIFESTART FITNESS CENTER
LISLE, IL
ZIP 60532-656
Phone: (630) 303-3686

The provider's authorized official is Craig E Broeder .
The authorized official title is Ceo/founder and has the following contact phone number (630) 303-3686.

The enumeration date for this NPI number is 6/15/2013 and was last updated on 6/15/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1100X	Clinic/Center	Research			Yes

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: 5/5/2024

NPI Synchronization or Removal

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