Healthcare Provider Details

I. General information

NPI: 1881169027
Provider Name (Legal Business Name): NOURISHMENT WORKS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 N LINCOLN AVE
CHICAGO IL
60613-2417
US

IV. Provider business mailing address

3921 N LINCOLN AVE
CHICAGO IL
60613-2417
US

V. Phone/Fax

Practice location:
  • Phone: 872-216-7870
  • Fax:
Mailing address:
  • Phone: 312-380-5344
  • Fax: 312-277-0932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN S MERKLE
Title or Position: FOUNDER
Credential: LCSW, MPH, RDN, LDN
Phone: 312-533-0707