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640 W Washington St, Pittsfield, IL 62363-1350 | |
(217) 285-2113 | |
(217) 285-5102 |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered - Nutrition, Metabolic |
Location | 640 W Washington St, Pittsfield, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1083946156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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640 W Washington St, Pittsfield, IL 62363-1350 Ph: (217) 285-2113 | 640 W Washington St, Pittsfield, IL 62363-1350 Ph: (217) 285-2113 |