Provider Demographics
NPI:1225902026
Name:MORGAN MULLINS NUTRITION PLLC
Entity type:Organization
Organization Name:MORGAN MULLINS NUTRITION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LDN
Authorized Official - Phone:847-308-0800
Mailing Address - Street 1:2155 W BELMONT AVE # 1016
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6471
Mailing Address - Country:US
Mailing Address - Phone:847-278-8495
Mailing Address - Fax:847-861-1184
Practice Address - Street 1:2155 W BELMONT AVE # 1016
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-6471
Practice Address - Country:US
Practice Address - Phone:847-278-8495
Practice Address - Fax:847-861-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty