O2 Fitness and Nutrition

NPI #1720881212 in Alsip, Illinois

Provider Information

NPI Number: 1720881212
Entity Type: Organization
Organization Name: O2 Fitness and Nutrition
Primary Specialty: Clinic/Center - Health Service
Enumeration Date: Mar 31, 2025
Last Updated: Mar 31, 2025

Practice Location

Address: 12609 S KROLL DR
City: Alsip
State: Illinois
ZIP Code: 60803-3221
Phone: (708) 969-6110

Authorized Official

Name: PAOLA AMBROSE, BA, RDN, LDN
Title: OWNER, RDN, LDN
Phone: (708) 819-2289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Health Maintenance Organization	302R00000X
Meals	174200000X
Clinic/Center - Pain — Pain	261QP3300X
Clinic/Center - Health Service — Health Service	261QH0100X	Primary

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