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REBECCA A ANTONACCI, RD, CDE – NPI #1760463665
Nutrition, Education

NPI Profile for REBECCA A ANTONACCI in SPRINGFIELD, IL.

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Contact Information

REBECCA A ANTONACCI, RD, CDE
415 N 9TH ST
STE 6W162
SPRINGFIELD, IL  62702-5303
 Phone: 217-545-3848
 Fax: 217-545-4912
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Nutrition, Education

 133NN1002X
 

Dietitian, Registered

 133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for REBECCA A ANTONACCI · (Female)

NPI Number 1760463665
Status Active
Credentials RD, CDE
Entity Individual
Enumeration date 11/08/2005
Last updated 03/18/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 164-002929
  • IL License # 164002929
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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