| NPI | 1639986219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DZIUBYK Owner 847-431-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |