A New Leaf Natural Medicine LLC

NPI #1104306240 in Evanston, Illinois

Provider Information

NPI Number
1104306240
Entity Type
Organization
Organization Name
A New Leaf Natural Medicine LLC
Primary Specialty
Dietitian, Registered
Enumeration Date
Aug 17, 2018
Last Updated
Oct 10, 2020

Practice Location

Address
708 CHURCH ST
ZIP Code
60201-3875
Phone
(847) 903-0503

Authorized Official

Name
DR. BONNIE LYNN BROCK, MPH, RD, LDN, ND
Title
SOLE MEMBER
Phone
(847) 903-0503

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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