| NPI | 1548498777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA HELEN CLARKE JENERO Owner/CEO 312-988-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164001957) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IL 164001957) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |