Individual provider · Type 1 NPI

Douglas Cort Drenckpohl, DCN, RD

Pediatric Nutrition Registered Dietitian · Peoria, IL

NPI number 1194526210 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637

Call (309) 624-0621 Map

Fax (309) 624-4291

Mailing address

1112 N. Underhill
Peoria, IL 61606

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X164002914 (IL)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1194526210

Douglas Cort Drenckpohl, DCN, RD's National Provider Identifier is 1194526210, issued on Mar 24, 2025. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Peoria, IL. The record was last updated on Mar 24, 2025.