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Individual

MRS. TINA ANN CLONEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RD, LDN, CDE

Contact information

Practice address
1701 CURTIS RD, CHAMPAIGN, IL 61822-9678
(217) 365-2853
(217) 365-2854
Mailing address
611 W PARK ST, URBANA, IL 61801-2501

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164001475
IL
133V00000X
Registered Dietitian
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
164-001475
STATE LICENSE - IL LDN
IL
01
803230
STATE LICENSE - IL CDR
IL
Enumeration date
06/14/2006
Last updated
05/14/2026
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