NPI | 1891906269 |
---|---|
Entity Type | Organization |
Authorized Contact | EHTESHAM J GHANI Clinical Director 630-325-5185 |
Organization Subpart ? | No |
Primary Taxonomy | 133N00000X Nutritionist (Licence: IL 036092503) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2008-09-11 |