Geri Kay Dew, R.D., LDN

Individual provider Active NPI Registered Dietitian · Spring Valley, IL

NPI 1659609048 · NPPES record last updated Nov 24, 2009

Key facts

NPI
1659609048
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
164.005160 (IL)
Practice address
600 E 1St St
Spring Valley, IL 61362-1512
Phone
(815) 664-1572
NPI assigned
Nov 24, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
164.005160ILMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.005160 IL Yes

Addresses

Primary practice location

600 E 1St St
Spring Valley, IL 61362-1512

Mailing address

600 E 1St St
Spring Valley, IL 61362-1512
Phone (815) 664-1572

Other providers in Spring Valley, IL

All providers in Spring Valley, IL · Registered Dietitian in Illinois

Sources for this page

Verify at the official NPI Registry.