Medical Nutritional Therapy

NPI #1144861196 in Glenview, Illinois

Provider Information

NPI Number
1144861196
Entity Type
Organization
Organization Name
Medical Nutritional Therapy
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Oct 1, 2019
Last Updated
Oct 1, 2019

Practice Location

Address
3633 W LAKE AVE STE 406
ZIP Code
60026-5804
Phone
(224) 806-5511

Authorized Official

Name
EMILIYA SUBEV
Title
DIETITIAN
Phone
(224) 806-5511

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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