Doctor Name: | MRS. LINDA S BANDY |
NPI Number: | 1013926195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN, CDE |
License Number: | 164000232 |
Business Practice Address: | 6900 S Madison St Ste 102 Willowbrook, IL - 605275510 |
Business Phone Number: | 6306553376 |
Business Fax Number: | 6306554676 |
Mailing Address: | 7726 Danbury Dr, DARIEN |
State: | IL |
Postal Code: | 605614349 |
Phone Number: | 6309854641 |
Fax Number: | 6309854651 |
NPI Enumeration Date: | 08/06/2006 |
NPI Last Update Date: | 10/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 164000232 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |