Individual
EMILY SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, IBCLC
Contact information
Practice address
2016 MADISON AVE, GRANITE CITY, IL 62040-4657
(618) 876-2383
Mailing address
2016 MADISON AVE, GRANITE CITY, IL 62040-4657
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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