Coley Anne Adloff, RD LD/N
Individual provider Active NPI Registered Dietitian · Decatur, IL
NPI 1194808618 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194808618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 2300 N Edward St
Decatur, IL 62526-4163 - Phone
- (217) 876-8121
- Fax
- (217) 876-2261
- NPI assigned
- Oct 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.003962 | IL | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | IL | Yes |
Addresses
Primary practice location
2300 N Edward St
Decatur, IL 62526-4163
Mailing address
2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121
Other providers in Decatur, IL
- Dawn Lee Ackerman
- Arion Beyonce Adams
- Theodore Rexford Addai
- Addus Healthcare, Inc.
- Samaj Adhikari
- Advance Vision Eye Care, S.C.
- Aef Management Group
- Samantha A Agar
- Aging Graceful Care LLC
- Erica Agrall
All providers in Decatur, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.