Total Nutrition Solutions Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

164003956 Issued in IL

Legal business name

TOTAL NUTRITION SOLUTIONS INC

Practice address

2262 119TH PL
Blue Island, IL 60406-1123

Phone

(708) 385-0882

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Marie Phillips

Title

Owner/President

Phone

(630) 865-2529

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1811353311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 WEST 119TH PL",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061123",
            "telephone_number": "708-385-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 119TH PL",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061123",
            "telephone_number": "708-385-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL NUTRITION SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-865-2529",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "164003956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.