SearchIllinoisRegistered Dietitian

Jacob Miceli

NPI 1649029240 · on the registry since 2024 · sole proprietor

Practice

Address
907 Powers Rd
Woodstock, IL 60098
Phone
(815) 276-9457

Registry record

Primary taxonomy
Registered Dietitian
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-15
Status
Not present in the most recent federal file

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