Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JENNIFER LYNN GUSTAFSON, RD,LDN,CDE.
ActiveNutrition, Education · CHICAGO, IL
Registration Details
- NPI Number
- 1528251485
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2007 (18.701467520589 yrs)
- Last Updated
- Oct 5, 2017
- License
-
164002821 (IL)
Practice Information
- Address
-
2233 W DIVISION STCHICAGO, IL, 606228151Browse IL providers · Browse ZIP 60622
- Phone
- 3127702275
- Fax
- 3126335882
- Primary Specialty
-
Nutrition, Education
133NN1002X
Other Nutrition, Education Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| LYNN DANFORD | M.S., C.D.E., L.D. | 1598773707 |
| REGINA E. SHELTON | LICENSED DIETITIAN | 1497959845 |
| KELLY FURR | — | 1306671789 |
| KATHERINE VICTORIA CERDA | RDN | 1861299737 |
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.