Individual
SAMANTHA FORNARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 NORTHGATE RD, RIVERSIDE, IL 60546-1638
(239) 391-1860
Mailing address
37 NORTHGATE RD, RIVERSIDE, IL 60546-1638
(239) 391-1860
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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