Individual
JESSICA KRUPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, LDN
Contact information
Practice address
135 E WESTMINSTER, LAKE FOREST, IL 60045-1803
(847) 858-6804
Mailing address
135 E WESTMINSTER, LAKE FOREST, IL 60045-1803
(847) 858-6804
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
164.024005
IL
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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