MEDICARE: ESSENTIAL HEALTH SOLUTIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist

General Provider Information

NPI Number	:	1497872345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENTIAL HEALTH SOLUTIONS INC

Provider Business Mailing Address
First Line	:	5215 N RAVENSWOOD AVE
Second Line	:	SUITE 105
City	:	CHICAGO
State	:	IL
Zip	:	60640-1668
Country	:	US
Telephone Number	:	773-878-7330
Fax Number	:

Provider Business Practice Location Address
First Line	:	5215 N RAVENSWOOD AVE
Second Line	:	SUITE 105
City	:	CHICAGO
State	:	IL
Zip	:	60640-1668
Country	:	US
Telephone Number	:	773-878-7330
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. TODD C RENN
Credential	:	DC
Telephone Number	:	773-878-7330

Provider Enumeration Date	:	03/24/2007
Last Update Date	:	08/22/2020

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