Devine Nutrition INC
NPI #1982012241 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1982012241
- Entity Type
- Organization
- Organization Name
- Devine Nutrition INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 30, 2014
- Last Updated
- Mar 4, 2024
Practice Location
- Address
- 6811 167TH ST STE 6
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-2501
- Phone
- (708) 612-0876
Authorized Official
- Name
- MS. KELLY L DEVINE, MS RD CSSD LDN
- Title
- PRESIDENT
- Phone
- (708) 612-0876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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