Provider Demographics
NPI:1134932395
Name:HAPPY GUT LLC
Entity type:Organization
Organization Name:HAPPY GUT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:B
Authorized Official - Last Name:SEIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:857-320-5164
Mailing Address - Street 1:1910 W SUNNYSIDE AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5814
Mailing Address - Country:US
Mailing Address - Phone:857-320-5164
Mailing Address - Fax:
Practice Address - Street 1:1910 W SUNNYSIDE AVE APT 3E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5814
Practice Address - Country:US
Practice Address - Phone:857-320-5164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty