Individual
MRS. LINDA S BANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE
Contact information
Practice address
6900 S MADISON ST, STE 102, WILLOWBROOK, IL 60527-5510
(630) 655-3376
(630) 655-4676
Mailing address
7726 DANBURY DR, DARIEN, IL 60561-4349
(630) 985-4641
(630) 985-4651
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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