Individual
MRS. JULIE R DOSTAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
2401 E WASHINGTON ST, STE 300C, BLOOMINGTON, IL 61704-4480
(309) 830-0711
(866) 592-3004
Mailing address
2401 E WASHINGTON ST, # 300C, BLOOMINGTON, IL 61704-4480
(309) 830-0711
(309) 663-2310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.001279
IL
Other
Enumeration date
05/28/2006
Last updated
12/06/2016
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