Individual
TAMARA ANN GRUTZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NT, RD, LDN
Contact information
Practice address
22840 EIDER CT, PLAINFIELD, IL 60585-4506
(815) 207-1240
(630) 206-1656
Mailing address
22840 EIDER CT, PLAINFIELD, IL 60585-4506
(815) 207-1240
(630) 206-1656
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
164003339
IL
Other
Enumeration date
03/05/2007
Last updated
01/22/2009
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