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Pathway Dietetics Llc
Clinic/Center in Cary, Illinois
NPI 1831493162

Pathway Dietetics Llc is a Clinic/Center based in Cary, IL. Pathway Dietetics Llc practices in Cary, IL. The NPI Number for Pathway Dietetics Llc is 1831493162 and holds a License No. 164.001309 (Illinois).

The current practice location address for Pathway Dietetics Llc is 415 Machelle Dr, Cary, IL and can be reached out via phone at 847-354-5584 and via fax at 888-788-2497.

Location: 415 Machelle Dr, Cary, IL, 60013-2399
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831493162
Provider Name
Pathway Dietetics Llc
Credential
Provider Entity Type
Organization
Address
415 Machelle Dr, Cary, IL, 60013-2399
Phone Number
847-354-5584
Fax Number
888-788-2497
Provider Enumeration Date
12/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164.001309 01 IL STATE OF IL DIVISION OF PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
415 Machelle Dr
City
Cary
State
Illinois
Zip
60013-2399
Phone Number
847-354-5584
Fax Number
888-788-2497
person
Provider Business Mailing Address Details
Address
415 Machelle Dr
City
Cary
State
Illinois
Zip
60013-2399
Phone Number
847-354-5584
Fax Number
888-788-2497
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
164.001309 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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