Organization
NUTRITION COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VIMBOR MS, RD, LDN (REGISTERED DIETITIAN)
(630) 671-5008
Entity
Organization
Contact information
Practice address
250 W SCHICK RD, BIGGEST LOSER RESORT, BLOOMINGDALE, IL 60108-1228
(630) 671-5008
Mailing address
250 W SCHICK RD, BIGGEST LOSER RESORT, BLOOMINGDALE, IL 60108-1228
(630) 671-5008
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004712
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCS8181
NPI
IL
Enumeration date
05/06/2015
Last updated
05/06/2015
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