NPI 1003053612

Danielle Gengo, RD

Practitioner Registered Dietitian Berwyn, IL

Practice location

Address: 3249 Oak Park Ave, Berwyn, IL 60402-3429
Phone: (708) 783-3077

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164.003918 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1003053612
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2009
Record last updated: 29 Aug 2012

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.