NPI 1053593673

Judeth a Brown-Sandusky, CN

Practitioner Nutritionist Elgin, IL

Practice location

Address: 108 Tyler Creek Plz, Elgin, IL 60123-1784
Phone: (847) 742-8225
Fax: (847) 742-8225

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 001030 (IL)

Other Nutritionist providers in Illinois →

Registry record

NPI: 1053593673
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2007
Record last updated: 19 Dec 2007

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.