NPI 1134999337

Nourisherpa LLC

Organisation Health Service Clinic/Center Buffalo Grove, IL

Practice location

Address: 1135 McHenry Rd, Buffalo Grove, IL 60089-1369
Phone: (847) 748-0414
Fax: (847) 748-0412
Mailing address: 20745 N Meadows CT, Kildeer, IL 60047-7829

Authorised official

Name: Jennifer Stotlar
Title: Owner
Phone: (847) 748-0414

Registered specialties

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1134999337
Entity type: Organization
NPI issued: 8 Jan 2024
Record last updated: 8 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.