Individual
JACOB SMERECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(224) 654-0387
Mailing address
1575 BIRMINGHAM LN, CRYSTAL LAKE, IL 60014-1912
(815) 814-3909
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164009266
IL
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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