| NPI | 1083960108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ROSE CONNOR Reg. Dietitian/Program Coordinator 847-252-6098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 164005616) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |