Organization
SODEXHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA GONZALEZ RD. LDN (DIETITIAN)
(815) 353-2334
Entity
Organization
Contact information
Practice address
1312 EAST. NORTH ST, LOCKPORT, IL 60441-2772
(815) 353-2334
Mailing address
1312 E NORTH ST, LOCKPORT, IL 60441-2772
(815) 353-2334
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
965048
IL
Other
Enumeration date
04/02/2007
Last updated
10/24/2007
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