Individual
ELIZABETH BRUENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,CSP,LDN,CDCES
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3100
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007204
IL
Other
Enumeration date
03/09/2023
Last updated
04/24/2023
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