Whalio Doctors

NPI 1891123832

Beloved Community Family Wellness Ctr

Organisation Registered Dietetic Technician Chicago, IL

Practice location

Address
6821 S Halsted St, Chicago, IL 60621-1833
Phone
(773) 651-3629
Fax
(773) 322-1599
Mailing address
6821 S Halsted Street, Chicago, IL 60621

Authorised official

Name
Assenath Naaman
Title
Dietician
Phone
(773) 651-3629

Registered specialties

Registered Dietetic Technician Primary
Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86034476 (IL)

Registry record

NPI
1891123832
Entity type
Organization
NPI issued
30 Oct 2013
Record last updated
30 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.