Organization Name: | SOUTH SHORE HOSPITAL CORPORATION |
NPI Number: | 1225479470 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE M. ROGERS (ADMINISTRATOR) |
Mailing Address: | 8012 S Crandon Ave Chicago |
State: | IL US |
Postal Code: | 606171124 |
Phone Number: | 7733565200 |
Fax Number: | 7737688154 |
NPI Enumeration Date: | 07/16/2013 |
NPI Last Update Date: | 12/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.004009 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |