NPI 1003292111

Crystal Ann Casper, RDLDN

Practitioner Registered Dietitian Peoria, IL

Practice location

Address: 7610 N Orange Prarie Road, Peoria, IL 61615
Phone: (309) 589-1001
Mailing address: 101 Karen Drive, East Peoria, IL 61611

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164.005880 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1003292111
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2015
Record last updated: 31 Jul 2015

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.