Provider Demographics
NPI:1730638339
Name:NOURISHING QI LLC SERIES A
Entity Type:Organization
Organization Name:NOURISHING QI LLC SERIES A
Other - Org Name:IN FINE FETTLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DAOM
Authorized Official - Phone:773-351-3352
Mailing Address - Street 1:900 CHICAGO AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-1872
Mailing Address - Country:US
Mailing Address - Phone:773-351-3352
Mailing Address - Fax:
Practice Address - Street 1:900 CHICAGO AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-1872
Practice Address - Country:US
Practice Address - Phone:773-351-3352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-25
Last Update Date:2016-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198000594171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty