Doctor Name: | TERRYANN CHRUDIMSKY |
NPI Number: | 1356652366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LDN |
License Number: | 164-005286 |
Business Practice Address: | 5666 E State St Rockford, IL - 611082425 |
Business Phone Number: | 8152262000 |
Business Fax Number: | |
Mailing Address: | 202 S Park St, MADISON |
State: | WI |
Postal Code: | 537151507 |
Phone Number: | 6084173817 |
Fax Number: | 6084173878 |
NPI Enumeration Date: | 06/24/2010 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164-005286 |
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 |