<Unavail>

LBN: Fitness Formula, Ltd
<Unavail> is an health care organization with primary practice located at 619 W Jackson Blvd , Chicago IL 60661-5606. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as the primary health care specialty. Fitness Formula, Ltd can be contacted via phone (312) 648-4666, or through Singleton, Brian via phone (312) 648-4666.

Contact Information

Primary practice address
619 W Jackson Blvd Chicago IL 60661-5606
Phone: (312) 648-4666
Fax: (312) 648-0155
Website:
Map and Directions
Authorized official contact:
Name: Singleton, Brian
Phone: (312) 648-4666

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1033596440
LBN Legal business name Fitness Formula, Ltd
DBA Doing business as <Unavail>
Authorized official Singleton, Brian
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2015
Last updated May 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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