Individual
REANNA PETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
1440 W TAYLOR ST # 359, CHICAGO, IL 60607-4623
(815) 409-8501
Mailing address
1440 W TAYLOR ST # 359, CHICAGO, IL 60607-4623
(815) 409-8501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007360
IL
Other
Enumeration date
05/14/2018
Last updated
03/19/2025
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