Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Half Moon Holistic Clinic, LLC

Organization Nutritionist · NPI 1114872199

Half Moon Holistic Clinic, LLC is a Nutritionist in Bolingbrook, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

124 Wethersfield Ln
Bolingbrook, IL 60440-3069
Phone: (630) 448-2024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1114872199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rameesha Bhatti — President · (630) 448-2024
NPI enumeratedMarch 4, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 3, 2026
Mailing address124 Wethersfield Ln, Bolingbrook, IL 60440-3069

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