Provider Demographics
NPI:1679904551
Name:NUTRITION THAT FITS INC
Entity Type:Organization
Organization Name:NUTRITION THAT FITS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:773-807-4085
Mailing Address - Street 1:4850 S LAKE PARK AVE APT 1911
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2074
Mailing Address - Country:US
Mailing Address - Phone:773-807-4085
Mailing Address - Fax:
Practice Address - Street 1:1016 W JACKSON BLVD # 315
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-2914
Practice Address - Country:US
Practice Address - Phone:773-807-4085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164003831133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty