| NPI | 1649578105 |
|---|---|
| Other Name | ISA DOH |
| Entity Type | Organization |
| Authorized Contact | MANDAN FARAHATI COO 312-787-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164.004756) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-04-14 |