Individual
ELOISA WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CNSC
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2890
Mailing address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2890
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006305
IL
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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