Provider Demographics
NPI:1265172951
Name:NUTRITION INTUITION LLC
Entity type:Organization
Organization Name:NUTRITION INTUITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINNY
Authorized Official - Middle Name:KRISTINE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:217-840-3142
Mailing Address - Street 1:3039 COUNTY ROAD 900 E
Mailing Address - Street 2:
Mailing Address - City:DEWEY
Mailing Address - State:IL
Mailing Address - Zip Code:61840-9703
Mailing Address - Country:US
Mailing Address - Phone:217-840-3142
Mailing Address - Fax:
Practice Address - Street 1:3039 COUNTY ROAD 900 E
Practice Address - Street 2:
Practice Address - City:DEWEY
Practice Address - State:IL
Practice Address - Zip Code:61840-9703
Practice Address - Country:US
Practice Address - Phone:217-840-3142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty