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Individual
MRS. LINDA S BANDY
Active
Individual
MRS. LINDA S BANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
164000232
IL
133V00000X
Registered Dietitian
Primary
164000232
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2232828
BLUE CROSS BLUE SHIELD
IL
01
—
9408554
PRIVATE HEATHCARE SYSTEMS
IL
Enumeration date
08/06/2006
Last updated
10/29/2014
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