Doctor Name: | MRS. CHERYL ANN BELL |
NPI Number: | 1932349719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LDN |
License Number: | 164.003777 |
Business Practice Address: | 487 State Park Rd Fox Lake, IL - 600201070 |
Business Phone Number: | 8479732440 |
Business Fax Number: | 8154449097 |
Mailing Address: | 487 State Park Rd, FOX LAKE |
State: | IL |
Postal Code: | 600201070 |
Phone Number: | 8479732440 |
Fax Number: | 8154449097 |
NPI Enumeration Date: | 03/06/2009 |
NPI Last Update Date: | 03/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1005X |
License Number: | 164.003777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Renal |
Taxonomy Definition: |