Individual
CHERYL CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
150 W HIGH ST, MORRIS, IL 60450-1463
(815) 705-7533
Mailing address
150 W HIGH ST, MORRIS, IL 60450-1463
(815) 705-7533
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005215
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.005215
IL LDN LICENSE
IL
Enumeration date
10/02/2015
Last updated
11/22/2017
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