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NPI Code Detail

MEDICARE: NOURISHMENT WORKS PC

MEDICARE: NOURISHMENT WORKS PC
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
1133NN1002XNutrition Education Nutritionist
2172V00000XCommunity Health Worker
3174H00000XHealth Educator
4133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1881169027
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOURISHMENT WORKS PC
Provider Business Mailing Address
First Line : 3921 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2417
Country : US
Telephone Number : 312-380-5344
Fax Number : 312-277-0932
Provider Business Practice Location Address
First Line : 3921 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2417
Country : US
Telephone Number : 872-216-7870
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : KATHRYN S MERKLE
Credential : LCSW, MPH, RDN, LDN
Telephone Number : 312-533-0707
Provider Enumeration Date : 10/03/2018
Last Update Date : 03/20/2025

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1437815594 — AMELIA O'BRIEN-COMBS MPH, RDN
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