Broadnax, Teri

Broadnax, Teri is an individual health care provider with primary practice located at 20 Forest Blvd , Park Forest IL 60466-1753. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Broadnax, Teri can be contacted via phone (630) 890-3081.

Contact Information

Primary practice address
20 Forest Blvd Park Forest IL 60466-1753
Phone: (630) 890-3081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X Illinois

Profile Details

NPI number 1447964499
LBN Legal business name Broadnax, Teri
Credentials LDN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2023
Last updated Jan 12th, 2023 - about 2 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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