Organization Name: | INNOVATIVE OUTPATIENT MEDICAL SYSTEMS INC. |
NPI Number: | 1699773911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FELICIA G COOK (INTERIM ADMINISTRATOR) |
Mailing Address: | 18425 West Creek Dr Ste B Tinley Park |
State: | IL US |
Postal Code: | 604776768 |
Phone Number: | 7085321337 |
Fax Number: | 7085321899 |
NPI Enumeration Date: | 07/11/2005 |
NPI Last Update Date: | 05/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |