Individual
MRS. VASANTHI PRABHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
308 RANDALL RD STE B, GENEVA, IL 60134-4201
(630) 315-1700
(630) 938-8330
Mailing address
308 RANDALL RD STE B, GENEVA, IL 60134-4201
(630) 315-1700
(630) 938-8330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.001244
IL
Other
Enumeration date
12/04/2006
Last updated
12/30/2021
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