| NPI | 1700023033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA ANN GRUTZA Registerd Dietitian/Nutritionist 815-207-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 164003339) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |