Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANICK DIESSONGO
ActiveANICK DIESSONGO is a Registered Dietitian healthcare provider located in SCOTT AIR FORCE BASE, Illinois. NPI 1780463059 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · SCOTT AIR FORCE BASE, IL
Registration Details
- NPI Number
- 1780463059
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2023 (2.8981267795619 yrs)
- Last Updated
- Sep 26, 2023
- License
-
164009254 (IL)
Practice Information
- Address
-
4711 THOMAS JEFFERSON CIR APT ASCOTT AIR FORCE BASE, IL, 622256225Browse IL providers · Browse ZIP 62225
- Phone
- 6462885143
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in SCOTT AIR FORCE BASE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CHERYL LYNN FRIETCH | R.D. | 1649330002 |
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.