Southern Illinois Nutrition Specialties in Carbondale - Dietitian, Registered
Southern Illinois Nutrition Specialties - NPI 1487700696
Southern Illinois Nutrition Specialties is a Dietitian, Registered in Carbondale, Illinois. Southern Illinois Nutrition Specialties practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Southern Illinois Nutrition Specialties is 1487700696. The last update date is 2020-08-22.
Southern Illinois Nutrition Specialties's current location address is Po Box 3301, Carbondale, Illinois. You can contact this provider via phone number 6189427300. The mailing address for Southern Illinois Nutrition Specialties is Po Box 3301, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Nutrition Specialties |
|---|---|
| Address | Po Box 3301, Carbondale, Illinois |
| Phone Number | 6189427300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Trentacosti Lori |
| Credentials | R.D. |
| Telephone Number | 6189427300 |
NPI Number Detail
| NPI Number | 1487700696 |
|---|---|
| Provider Enumeration Date | 2007-01-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 3301 |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629023301 |
| Phone Number | 6189427300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southern Illinois Nutrition Specialties by the Centers for Medicare & Medicaid Services?
The Southern Illinois Nutrition Specialties has been issued the NPI (National Provider Identifier) 1487700696, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Southern Illinois Nutrition Specialties's facilities are geographically located?
The facilities of Southern Illinois Nutrition Specialties are physically situated at the following location: Po Box 3301, Carbondale, IL, 629023301.
What is the Southern Illinois Nutrition Specialties's area of specialization and corresponding taxonomy classification?
The Southern Illinois Nutrition Specialties's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Southern Illinois Nutrition Specialties receive its 1487700696 assignment from the Centers for Medicare & Medicaid Services?
The Southern Illinois Nutrition Specialties was assigned its 1487700696 by the Centers for Medicare & Medicaid Services on 2007-01-28.
When was the information regarding Southern Illinois Nutrition Specialties most recently updated?
The details pertaining to the Southern Illinois Nutrition Specialties, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.