Search › Illinois › 133V00000X
Adam Pruett, RDN
NPI 1386140614 · on the registry since 2018 · sole proprietor
Practice
- Address
- 5900 Bond Ave
East Saint Louis, IL 62207 - Phone
- (618) 332-5458
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133V00000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois