Doctor Name: | MS. DIANE MICHELLE SIMON |
NPI Number: | 1497865349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD LDN |
License Number: | |
Business Practice Address: | 2400 N Rockton Ave Medical Genetics Rockford, IL - 611033655 |
Business Phone Number: | 8159715782 |
Business Fax Number: | |
Mailing Address: | 220 E Hillcrest Dr, 3201 DEKALB |
State: | IL |
Postal Code: | 601152479 |
Phone Number: | 8157488594 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
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 |