Half Moon Holistic Clinic, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

HALF MOON HOLISTIC CLINIC, LLC

Practice address

124 Wethersfield LN
Bolingbrook, IL 60440-3069

Phone

(630) 448-2024

NPI assigned

Mar 4, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rameesha Nabeel Bhatti, CFNC

Title

President

Phone

(630) 448-2024

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1114872199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WETHERSFIELD LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403069",
            "telephone_number": "630-448-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WETHERSFIELD LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403069",
            "telephone_number": "630-448-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALF MOON HOLISTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "BHATTI",
        "authorized_official_first_name": "RAMEESHA",
        "authorized_official_middle_name": "NABEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-448-2024",
        "authorized_official_credential": "CFNC"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.