| NPI | 1518314970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY JO HOFFMAN Clinical Dietitian 708-202-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital |
| Additional Taxonomies | 261QV0200X Clinic/Center, VA |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |