| NPI | 1063614121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JILL GOYNSHOR Registered Dietitian 847-490-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164003885) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |