Organization
EAT TO GROW, INC.
Active
Organization
EAT TO GROW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN MCCABE RD, LD, CLC, CD (PEDIATRIC DIETITIAN)
(217) 280-0220
Entity
Organization
Contact information
Practice address
306 OSTEEN LN, CHATHAM, IL 62629-5007
(217) 280-0220
(217) 483-6891
Mailing address
306 OSTEEN LN, CHATHAM, IL 62629-5007
(217) 280-0220
(217) 483-6891
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
JM99120799P
IL
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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