Phc of Buffalo Grove Nutrition
NPI #1902107386 in Vernon Hills, Illinois
Provider Information
- NPI Number
- 1902107386
- Entity Type
- Organization
- Organization Name
- Phc of Buffalo Grove Nutrition
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Nov 16, 2010
- Last Updated
- Sep 12, 2013
Practice Location
- Address
- 175 E HAWTHORN PKWY
- Address 2
- SUITE 235
- City
- Vernon Hills
- State
- Illinois
- ZIP Code
- 60061-1463
- Phone
- (847) 868-3435
Authorized Official
- Name
- JEREMY WARNER
- Title
- PRACTICE MANAGER
- Phone
- (847) 868-3435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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