Individual
JERI L. YEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4911 N EXECUTIVE DR, MATERNAL FETAL DIAGNOSTIC CENTER, PEORIA, IL 61614-4896
(309) 683-6708
(309) 683-6734
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207657
MEDICARE GROUP NO.
—
Enumeration date
07/18/2006
Last updated
07/08/2007
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