Jacqueline Stutsman, MS, RDN, LDN
Dietitian, Registered in Glenview, IL. Individual provider (NPI-1).
NPI number1043616634
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1043616634
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Stutsman
- Credential
- MS, RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2014
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.006302 | IL | Yes |
Practice location
2200 Waukegan RdGlenview, IL 60025-1759
Phone 847-752-0006
Mailing address
2200 Waukegan Rd.Glenview, IL 60025
Phone 847-752-0006
Other practice locations
2937 N Talman Ave
Chicago, IL 60618-7814
Chicago, IL 60618-7814
Phone 630-518-6476
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