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

Nutriving LLC

Organization Registered Dietitian · NPI 1023759123

Nutriving LLC is a Registered Dietitian in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
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

3530 N Reta Ave Apt 2R
Chicago, IL 60657-6912
Phone: (630) 776-5461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1023759123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Wagner — Registered Dietitian · (630) 776-5461
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 1, 2022
Mailing address3530 N Reta Ave Apt 2r, Chicago, IL 60657-6912

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