| NPI | 1235632928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT CURTISS Owner 630-854-8476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: IL 164.005998) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.005998) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-05-22 |