Individual
MS. JENNIFER REILAND CUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
20201 S. CRAWFORD AVE, SUITE 1403, OLYMPIA FIELDS, IL 60461
(708) 679-2130
(708) 679-2260
Mailing address
20201 S. CRAWFORD AVE, SUITE 1403, OLYMPIA FIELDS, IL 60461
(708) 679-2130
(708) 679-2260
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004947
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL5686016
MEDICARE PTAN
IL
Enumeration date
04/16/2012
Last updated
03/17/2015
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