Doctor Name: | JUDY WEBBER |
NPI Number: | 1790144350 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 164001984 |
Business Practice Address: | 1813 W Kirby Ave Ste 120 Champaign, IL - 618215410 |
Business Phone Number: | 2173833450 |
Business Fax Number: | |
Mailing Address: | 611 W Park St, Bwpc URBANA |
State: | IL |
Postal Code: | 618012529 |
Phone Number: | 2173836941 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2016 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164001984 |
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 |