| NPI | 1780270603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ANGELO Owner 312-448-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| 136A00000X Dietetic Technician, Registered | |
| 132700000X Dietary Manager | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |