Antonacci, Rebecca A

Antonacci, Rebecca A is an individual health care provider with primary practice located at 415 N 9Th St Ste 6W162, Springfield IL 62702-5303. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutrition, Education is her primary health care specialty. Antonacci, Rebecca A can be contacted via phone (217) 545-3848.

Contact Information

Primary practice address
415 N 9Th St Ste 6W162 Springfield IL 62702-5303
Phone: (217) 545-3848
Fax: (217) 545-4912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164002929 Illinois
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 164-002929 Illinois

Profile Details

NPI number 1760463665
LBN Legal business name Antonacci, Rebecca A
Credentials RD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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