Organization
EATING RECOVERY CENTER
Active
Organization
EATING RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDSAY M BIRCHFIELD RD (REGISTERED DIETITIAN)
(630) 291-5107
Entity
Organization
Contact information
Practice address
3121 AUGUSTA BLVD, APT 3, CHICAGO, IL 60622
(630) 291-5107
Mailing address
3121 W AUGUSTA BLVD, APT 3, CHICAGO, IL 60622-4315
(630) 291-5107
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1035415
NY
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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