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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