| NPI | 1487279014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS EVRARD Owner 773-318-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| 133VN1101X Dietitian, Registered Nutrition, Gerontological | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |