Provider Demographics
NPI:1558241539
Name:NUTRITION BY HEBA LLC
Entity type:Organization
Organization Name:NUTRITION BY HEBA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDEL LATIEF
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MPH, RDN, CDCES
Authorized Official - Phone:708-457-7720
Mailing Address - Street 1:3424 W LELAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-6904
Mailing Address - Country:US
Mailing Address - Phone:708-457-7720
Mailing Address - Fax:
Practice Address - Street 1:3424 W LELAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-6904
Practice Address - Country:US
Practice Address - Phone:708-457-7720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty