| NPI | 1760116693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON B SHUDNOW Member 847-721-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-09-13 |