Individual
MS. JEANNIE MARIE GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCN, LDN
Contact information
Practice address
310 W. BURLINGTON AVE, WESTMONT, IL 60559
(630) 414-9896
Mailing address
310 W BURLINGTON AVE, WESTMONT, IL 60559-1620
(630) 414-9896
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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