Provider Demographics
NPI:1467243881
Name:LEAN THYME NUTRITION CO
Entity type:Organization
Organization Name:LEAN THYME NUTRITION CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN - CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULQADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-501-2535
Mailing Address - Street 1:7667 W 95TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-2281
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7667 W 95TH ST STE 200
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-2281
Practice Address - Country:US
Practice Address - Phone:708-501-2535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty