NPI 1073228243
Gentree Nutrition
Practice location
- Address
- 20 Forest Blvd, Park Forest, IL 60466-1753
- Phone
- (630) 890-3081
Authorised official
- Name
- Teri Broadnax
- Title
- Licensed Dietitian Nutritionist
- Phone
- (708) 897-1612
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1073228243
- Entity type
- Organization
- NPI issued
- 20 Jan 2023
- Record last updated
- 2 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.