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General NPI Number Information
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NPI Number | 1881169027
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Entity Type | Organization
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Legal Business Name | NOURISHMENT WORKS PC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3921 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60613-2417
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Country | US
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Telephone | 872-216-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 3921 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60613-2417
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Country | US
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Telephone | 312-380-5344
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Fax | 312-277-0932
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Authorized Official
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Title or Position | FOUNDER
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Name | KATHRYN S MERKLE
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Credential | LCSW, MPH, RDN, LDN
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Telephone | 312-533-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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