Individual
ROBIN R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPH, RD, LDN
Contact information
Practice address
2906 CROSSING CT, CHAMPAIGN, IL 61822-6163
(217) 356-6543
(217) 356-8010
Mailing address
2906 CROSSING CT, CHAMPAIGN, IL 61822-6163
(217) 356-6543
(217) 356-8010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.002633
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.002633
STATE OF IL
IL
Enumeration date
01/15/2014
Last updated
01/15/2014
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