NPI 1376975607

Michelle der, RDLDNCDE

Practitioner Registered Dietitian Berwyn, IL

Practice location

Address: 3249 Oak Park Ave, Berwyn, IL 60402-3429
Phone: (708) 783-3077

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164.000159 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1376975607
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2013
Record last updated: 9 Aug 2013

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.