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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA ANN JACOB, R.D.

Active Sole Proprietor

LAURA ANN JACOB, R.D. is a Registered Dietitian healthcare provider located in CHAMPAIGN, Illinois. NPI 1144427857 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · CHAMPAIGN, IL

Registration Details

NPI Number
1144427857
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2007 (19.102063232851 yrs)
Last Updated
May 29, 2024
License
164.004493 (IL)
Sole Proprietor
Yes

Practice Information

Address
1801 W WINDSOR RD
CHAMPAIGN, IL, 618226217
Browse IL providers · Browse ZIP 61822
Phone
2173668144
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in CHAMPAIGN, IL

Name Credential NPI
MRS. SUSAN MARY BROWN RD 1720095961
MARTHA FINN TRENKAMP RD 1184724700
KRISTEN N DIFILIPPO MS, RD, LDN 1992887194
MICHAELA ANN KRUSE MA, RD, LD 1629389515
SHANELL R SCHULZ RD 1528375482
ROBIN R ALLEN MSPH, RD, LDN 1750703401
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.