| NPI | 1093020539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE GRACE SZPINDOR Physician 847-310-8844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 0036062096) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 0036047857) |
| 133N00000X Nutritionist (Licence: IL 164005528) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2011-09-23 |