Healthcare Provider Details

I. General information

NPI: 1528884400
Provider Name (Legal Business Name): BODY PEACE NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5214 N WESTERN AVE STE 102
CHICAGO IL
60625-2588
US

IV. Provider business mailing address

5214 N WESTERN AVE STE 102
CHICAGO IL
60625-2588
US

V. Phone/Fax

Practice location:
  • Phone: 872-216-7870
  • Fax:
Mailing address:
  • Phone: 872-216-7870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: GIA FALBO
Title or Position: REGISTERED DIETITIAN
Credential: RDN, LDN
Phone: 872-216-7870