NPI | 1427447044 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCIA K SCHULTZ Registered Dietitian 815-739-1040 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.005534) |
Enumeration Date | 2015-01-20 |
Last Update Date | 2015-01-20 |