| NPI | 1700255999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ZIMMERMAN Registered Dietitian 847-401-7498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT83899) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |