NPI 1629028626

Bo Xu, CMD

Practitioner Nutritionist Plainfield, IL

Practice location

Address: 1307 Bluejay Ln, Plainfield, IL 60586-5423
Phone: (815) 685-6497
Fax: (815) 230-1851

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 55343813 (IL)

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Registry record

NPI: 1629028626
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2006
Record last updated: 12 Nov 2015

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.