Individual
NICOLE CIRRENCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1741 PHEASANT LN, NEW LENOX, IL 60451-2894
(815) 592-4259
Mailing address
1741 PHEASANT LN, NEW LENOX, IL 60451-2894
(815) 592-4259
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.008782
IL
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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