Tlc Nutrition Therapy INC

NPI #1144761487 in Lockport, Illinois

Provider Information

NPI Number: 1144761487
Entity Type: Organization
Organization Name: Tlc Nutrition Therapy INC
Primary Specialty: Dietitian, Registered
Enumeration Date: Mar 20, 2017
Last Updated: Mar 20, 2017

Practice Location

Address: 16609 BLACKFOOT DR
City: Lockport
State: Illinois
ZIP Code: 60441-1501
Phone: (708) 705-4881

Authorized Official

Name: TRACEY L CICIRALE, RD
Title: REGISTERED DIETITIAN
Phone: (708) 705-4881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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