Individual provider · NPI-1

Vanessa Quiroz, RD, LDN, CLS

Dietitian, Registered · Lombard, IL

NPI number1255220992
StatusActive
Last updated in NPPESJun 30, 2025

Details

NPI
1255220992
Entity type
Individual (NPI-1)
Name
Vanessa Quiroz
Credential
RD, LDN, CLS
Sex
Female
Sole proprietor
No
Enumeration date
Jun 30, 2025
Certification date
Jun 29, 2025
Last updated
Jun 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164.008430ILYes
174N00000X Lactation Consultant, Non-RN––

Practice location

1111 E Jackson St
Lombard, IL 60148-3709

Phone 630-682-7400

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977

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