| NPI | 1770362220 |
|---|---|
| Former Legal Business Name | ELLEVATED HEALTH |
| Entity Type | Organization |
| Authorized Contact | ELLEN BIEMILLER Owner 773-217-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-10-19 |