Individual
MICHELLE PENICOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15 SPINNING WHEEL RD STE 402, HINSDALE, IL 60521-7698
(630) 323-2400
Mailing address
1040 STATION BLVD UNIT 320, AURORA, IL 60504-2135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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