NPI 1053683524

Janet Fraker, LDN

Practitioner Nutritionist Rockford, IL

Practice location

Address: 1601 N University Dr, Rockford, IL 61107-5317
Phone: (815) 387-2500
Fax: (815) 387-2590
Mailing address: 11927 Lanark CT, Caledonia, IL 61011-9794

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 164-0008000 (IL)

Other Nutritionist providers in Illinois →

Registry record

NPI: 1053683524
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2012
Record last updated: 31 Jan 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.