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Contact Information

JEANNIE M GORMAN, MS, CCN, LDN
310 W. BURLINGTON AVE
WESTMONT, IL60559
 Phone: 630-414-9896
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for JEANNIE M GORMAN · (Female)

NPI # 1689192163
Status Active
Credentials MS, CCN, LDN
Entity Individual
Enumeration date 09/05/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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