| Doctor Name: | MRS. AMANDA MARIE REILSON |
| NPI Number: | 1003067422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LDN |
| License Number: | 164004969 |
| Business Practice Address: | 6800 State Route 162 Maryville, IL - 620628500 |
| Business Phone Number: | 6183915528 |
| Business Fax Number: | 6182883638 |
| Mailing Address: | 1813 Marine Rd, SAINT JACOB |
| State: | IL |
| Postal Code: | 622811243 |
| Phone Number: | 6186443129 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2008 |
| NPI Last Update Date: | 10/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 164004969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |