Organization Name: | ILLINOIS DIETITIANS, LLC |
NPI Number: | 1487085791 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EILEEN HOURIHAN MCCARTHY (OWNER) |
Mailing Address: | 2844 Mizpah Park Dr Benton Harbor |
State: | MI US |
Postal Code: | 490222530 |
Phone Number: | 7082851347 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 12/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164.004823 |
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 |