NPI 1063107126

Vjatscheslav Kharitonenkov, MSRDNLDN

Practitioner Registered Dietitian Springfield, IL

Practice location

Address: 2501 Chatham Rd STE 5660, Springfield, IL 62704-4188
Phone: (317) 757-9667

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Illinois →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Registry record

NPI: 1063107126
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2023
Record last updated: 4 May 2026

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.