Individual
MORGAN MICHELLE REPKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 N 2000TH ST, DIETERICH, IL 62424-2328
(217) 821-2207
Mailing address
8383 N 2000TH ST, DIETERICH, IL 62424-2328
(217) 821-2207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86377264
IL
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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