Ellen Shepherd, RD
Dietitian, Registered in Huntley, IL. Individual provider (NPI-1).
NPI number1831817618
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1831817618
- Entity type
- Individual (NPI-1)
- Name
- Ellen Shepherd
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2022
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164005986 | IL | Yes |
| 133V00000X | Dietitian, Registered | – | – |
Practice location
10450 Algonquin Rd Ste 100aHuntley, IL 60142-7064
Phone 815-334-5566 · Fax 847-802-7259
Mailing address
10450 Algonquin Rd Ste 100aHuntley, IL 60142-7064
Phone 815-334-5566 · Fax 847-802-7259
Other practice locations
360 Station Dr Ste 100
Crystal Lake, IL 60014-7994
Crystal Lake, IL 60014-7994
Phone 815-334-5566 · Fax 815-759-4044
3707 Doty Rd Ste G&H
Woodstock, IL 60098-7530
Woodstock, IL 60098-7530
Phone 815-334-5566 · Fax 815-759-4044
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All 18 Registered Dietitian providers in Huntley · All 475 providers in Huntley
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