| NPI | 1023354032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY EVA COHEN Co Owner 847-754-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 999431) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |