Conway Nutrition Services, Inc.
Organization Active NPI Registered Dietitian · Oak Forest, IL
NPI 1154785442 · NPPES record last updated Apr 12, 2016
Key facts
- NPI
- 1154785442
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164.001485 (IL)
- Legal business name
- CONWAY NUTRITION SERVICES, INC.
- Practice address
- 5328 Fawn CT
Oak Forest, IL 60452-2200 - Phone
- (708) 305-4402
- Fax
- (708) 535-2268
- NPI assigned
- Apr 12, 2016
- Organization subpart
- No
Authorized official
- Name
- Jennifer W Conway
- Title
- Owner/Director
- Phone
- (708) 305-4402
Practitioners 1
-
Jennifer Woods Conway, RD,LDN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 164.001485 | IL | Yes |
Addresses
Primary practice location
5328 Fawn CT
Oak Forest, IL 60452-2200
Mailing address
5328 Fawn CT
Oak Forest, IL 60452-2200
Phone (708) 305-4402
Other providers in Oak Forest, IL
- Daniel Ciezobka
- City of Oak Forest
- Cheri A Clarke
- Cole Vision Corporation
- Continuum Foot & Ankle Medical & Surgical Center LTD.
- Jennifer Woods Conway
- Cook County
- Cook County
- Cook County
- Cook County
All providers in Oak Forest, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.