MEDICARE: RECOVERED CONNECTIONS NUTRITION COUNSELING, PLLC

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1821749284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERED CONNECTIONS NUTRITION COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	1755 E 55TH ST APT 1204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-5977
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 E 55TH ST APT 1204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-5977
Country	:	US
Telephone Number	:	312-292-9793
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HEATHER EICHORN
Credential	:	RD, LDN, CEDRD-S
Telephone Number	:	312-292-9793

Provider Enumeration Date	:	01/17/2022
Last Update Date	:	02/11/2026

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