NPI 1306250006

John Birdsall, NDLDN

Practitioner Naturopath Lake Bluff, IL

Practice location

Address: 900 North Shore Dr Suite 120, Lake Bluff, IL 60044-2243
Phone: (847) 343-2001

Registered specialties (2)

Naturopath Primary

Other Service Providers Taxonomy 175F00000X Licence 099.0098042 (VT)

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Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 164.006907 (IL)

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Registry record

NPI: 1306250006
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2014
Record last updated: 26 Aug 2016

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.