Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORI BUMBACO, MS, RDN, CSO, LDN
ActiveOncology Nutrition · HIGHLAND PARK, IL
Registration Details
- NPI Number
- 1801062633
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2008 (17.97570129452 yrs)
- Last Updated
- Apr 8, 2022
- Licenses
-
943720 (IL)164.006161 (IL)
Practice Information
- Address
-
610 ONWENTSIA AVEHIGHLAND PARK, IL, 600352030Browse IL providers · Browse ZIP 60035
- Phone
- 2017872220
- Primary Specialty
-
Oncology Nutrition
133VN1301X
- Additional Specialty
- Oncology Nutrition
- Additional Specialty
- Oncology Nutrition
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.