Provider Demographics
NPI:1326890575
Name:RANDELISH NUTRITION LLC
Entity Type:Organization
Organization Name:RANDELISH NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:KARLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LDN, CPT
Authorized Official - Phone:847-370-6583
Mailing Address - Street 1:480 WESTGATE RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3331
Mailing Address - Country:US
Mailing Address - Phone:847-370-6583
Mailing Address - Fax:
Practice Address - Street 1:227 E PARK AVE STE 101
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-2841
Practice Address - Country:US
Practice Address - Phone:847-370-6583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty