Janis Taake, RD, LD

Registered Dietitian · Belleville, IL

Individual Active NPI

NPI number 1417280710

Practice location

4550 Memorial Dr
Medical Office Building One Suite 360
Belleville, IL 62226-5372
Phone
(618) 239-9500

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NPI record

NPI
1417280710
Entity type
Individual (Type 1)
Enumeration date
September 17, 2009
Last updated
September 17, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 164-001437 IL

Mailing address

311 Westfield Dr
O Fallon, IL 62269-2728

About Janis Taake

Janis Taake, RD, LD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 4550 Memorial Dr, Medical Office Building One Suite 360, Belleville, IL 62226-5372. The NPI number 1417280710 was assigned on September 17, 2009 and the record was last updated on September 17, 2009.

Janis Taake lists a license in the registry: #164-001437 (IL) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Janis Taake, RD, LD?

The NPI number is 1417280710.

What is the phone number of Janis Taake?

The phone number listed for the practice location is (618) 239-9500.

Where is Janis Taake located?

4550 Memorial Dr, Medical Office Building One Suite 360, Belleville, IL 62226-5372.

What is the taxonomy code for Janis Taake?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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