NPI 1003423823

Jeanne Therese Laird, RDNLDN

Practitioner Registered Dietitian Bourbonnais, IL

Practice location

Address: 100 Fitness Dr, Bourbonnais, IL 60914-9584
Phone: (815) 936-6515
Fax: (815) 936-6517

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164.007610 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1003423823
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2020
Record last updated: 22 Oct 2020

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.