Individual
DR. DOUGLAS CORT DRENCKPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DCN, RD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 624-0621
(309) 624-4291
Mailing address
1112 N. UNDERHILL, PEORIA, IL 61606
(309) 253-7826
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
164002914
IL
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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