Organization · Type 2 NPI

The Divorced Dietitian

Registered Dietitian · Homer Glen, IL

NPI number 1003762311 Active

Practice location

16056 S Codo Dr
Homer Glen, IL 60491-7923

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

Another provider at this address

About NPI 1003762311

The Divorced Dietitian's National Provider Identifier is 1003762311, issued on Mar 9, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Homer Glen, IL. The record was last updated on Mar 9, 2026.