| NPI | 1336894856 |
|---|---|
| Former Legal Business Name | YOUR KIDNEY DIETITIAN LLC |
| Entity Type | Organization |
| Authorized Contact | CAITLIN ZALEWSKI Registered Dietitian 224-725-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2024-08-15 |