Organization Name: | CONWAY NUTRITION SERVICES, INC. |
NPI Number: | 1154785442 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER W CONWAY (OWNER/DIRECTOR) |
Mailing Address: | 5328 Fawn Ct Oak Forest |
State: | IL US |
Postal Code: | 604522200 |
Phone Number: | 7083054402 |
Fax Number: | 7085352268 |
NPI Enumeration Date: | 04/12/2016 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.001485 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |