| NPI | 1528866209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L GUZMAN Registered Dietitian Nutritionist 815-603-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |