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Devine Nutrition Inc
Clinic/Center in Tinley Park, Illinois
NPI 1982012241

Devine Nutrition Inc is a Clinic/Center based in Oak Forest, IL. Devine Nutrition Inc practices in Tinley Park, IL. The NPI Number for Devine Nutrition Inc is 1982012241 and holds a License No. 164004722 (Illinois).

The current practice location address for Devine Nutrition Inc is 6811 167Th St Ste 6, Tinley Park, IL and can be reached out via phone at 708-612-0876. You can also correspond with Devine Nutrition Inc through the mailing address at 6521 CHARLESTON ST, OAK FOREST, IL - 60452-2626 (mailing address contact number: 708-612-0876).

Location: 6811 167Th St Ste 6, Tinley Park, IL, 60452-2626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982012241
Provider Name
Devine Nutrition Inc
Credential
Provider Entity Type
Organization
Address
6811 167Th St Ste 6, Tinley Park, IL, 60452-2626
Phone Number
708-612-0876
Fax Number
Provider Enumeration Date
07/30/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6811 167Th St Ste 6
City
Tinley Park
State
Illinois
Zip
60477-2501
Phone Number
708-612-0876
Fax Number
person
Provider Business Mailing Address Details
Address
6521 Charleston St
City
Oak Forest
State
Illinois
Zip
60452-2626
Phone Number
708-612-0876
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
164004722 (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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