Rene Marie Anderes, R.D., L.D.N.
Individual provider Active NPI Registered Dietitian · Peru, IL
NPI 1801199252 · NPPES record last updated Dec 7, 2010
Key facts
- NPI
- 1801199252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164.005361 (IL)
- Practice address
- 925 West St
Peru, IL 61354-2757 - Phone
- (815) 780-3520
- Fax
- (815) 780-4679
- NPI assigned
- Dec 7, 2010
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005361 | IL | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.005361 | IL | Yes |
Addresses
Primary practice location
925 West St
Peru, IL 61354-2757
Mailing address
925 West St
Peru, IL 61354-2757
Phone (815) 780-3520
Other providers in Peru, IL
- Qusai Taher Alitter
- Allure of Peru, LLC
- Allure of Peru, LLC
- Alpha Dental Care
- Noor Alshaikh
- Andreoni & Co
- Tracey Ann Antle
- Apex Medical PC
- Haleigh Catherine Augspols
- Austriaco Dental Associates - Peru LLC
All providers in Peru, 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 Dec 7, 2010. 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.