Individual provider · Type 1 NPI

Shirley Jean Poole, RD CSP LDN

Pediatric Nutrition Registered Dietitian · Rockford, IL

NPI number 1205960705 Active

Practice location

1401 E State St
Rockford, IL 61104-2315

Call (815) 489-4667 Map

Fax (815) 964-5404

Mailing address

11249 Chaney Dr
Machesney Park, IL 61115-7438

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XNone listed

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…

177 other providers at this address

About NPI 1205960705

Shirley Jean Poole, RD CSP LDN's National Provider Identifier is 1205960705, issued on Mar 15, 2007. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.