| NPI | 1497228456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ANGELO Owner 847-640-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education |
| Additional Taxonomies | 132700000X Dietary Manager |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 133VN1005X Dietitian, Registered Nutrition, Renal | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| 133VN1101X Dietitian, Registered Nutrition, Gerontological | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics | |
| 136A00000X Dietetic Technician, Registered | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2020-06-23 |