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

JACOB MICELI

Active Sole Proprietor

JACOB MICELI is a Registered Dietitian healthcare provider located in WOODSTOCK, Illinois. NPI 1649029240 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · WOODSTOCK, IL

Registration Details

NPI Number
1649029240
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2024 (2.2164728914761 yrs)
Last Updated
May 15, 2024
License
86419608 (IL)
Sole Proprietor
Yes

Practice Information

Address
907 POWERS RD
WOODSTOCK, IL, 600982701
Browse IL providers · Browse ZIP 60098
Phone
8152769457
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in WOODSTOCK, IL

Name Credential NPI
ANGELA E MACK RD 1902991078
MRS. TIFFANIE ANN YOUNG MS, RD, LDN 1982836789
STACIA RIFFE MS,RD,LDN 1275906877
MARY JO WINKENWERDER RD, LD 1437522810
JESELL ZEPEDA RD 1083232680
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.