Doctor Name: | ELISE MARIE BOHL |
NPI Number: | 1417351719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LDN |
License Number: | 86011820 |
Business Practice Address: | 812 N Logan Ave Danville, IL - 618323752 |
Business Phone Number: | 2174435000 |
Business Fax Number: | 2174772755 |
Mailing Address: | 812 N Logan Ave, DANVILLE |
State: | IL |
Postal Code: | 618323752 |
Phone Number: | 2174435000 |
Fax Number: | 2174772755 |
NPI Enumeration Date: | 10/15/2014 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 86011820 |
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 |