Nutriquity, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRIQUITY, LLC

Practice address

1165 S Cuyler Ave
Oak Park, IL 60304-2239

Phone

(708) 902-4522

NPI assigned

Feb 8, 2019

Organization subpart

No

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

Authorized official

Name

Michael Glab, MS, RD, LDN

Title

Owner/Registered Dietitian

Phone

(708) 902-4522

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily Beth Wawrzon, RD, LDN

  • Registered Dietitian
  • Oak Park, IL
  • NPI 1073336798

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1881159309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042239",
            "telephone_number": "708-902-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042239",
            "telephone_number": "708-902-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIQUITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "GLAB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "708-902-4522",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novamind LLC
• Carly Brooke Novoselsky, LCPC, CADC
• Bonnie M. Nowakowski, D.O.
• Gabriela A Noyola, RBT
• Npreys Services, Inc.
• Anthony Nuval, MD
• Izuchukwu Nwafo, M.D
• Chioma Nwaoha, PA-C
• Nancy Jane O'Connell, RN
• Hannah O'Connor, LCSW

• Registered Dietitian in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.