| Doctor Name: | MRS. DIANE BUBECK |
| NPI Number: | 1558540328 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT, RD, LDN, CLT |
| License Number: | 1640011456 |
| Business Practice Address: | 3528 Becket Ln Naperville, IL - 605644141 |
| Business Phone Number: | 6303695645 |
| Business Fax Number: | 6303695651 |
| Mailing Address: | 3528 Becket Ln, NAPERVILLE |
| State: | IL |
| Postal Code: | 605644141 |
| Phone Number: | 6303695645 |
| Fax Number: | 6303695651 |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1640011456 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |