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Contact Information

ANNA C PETERSEN, MS RD LDN
1533 LARK LANE
NAPERVILLE, IL60565
 Phone: 815-210-1517
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ANNA C PETERSEN · (Female)

NPI # 1568128346
Status Active
Credentials MS RD LDN
Entity Individual
Enumeration date 11/16/2021
Last updated 11/19/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 164005342
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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