Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS CORT DRENCKPOHL, DCN, RD
ActivePediatric Nutrition · PEORIA, IL
Registration Details
- NPI Number
- 1194526210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2025 (1.0795756388361 yrs)
- Last Updated
- Mar 24, 2025
- License
-
164002914 (IL)
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 61637Browse IL providers · Browse ZIP 61637
- Phone
- 3096240621
- Fax
- 3096244291
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DAGMARA MALINOWSKA | — | 1912876988 |
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.