| NPI | 1770027567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY M BIRCHFIELD Registered Dietitian 630-291-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 1035415) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |