Individual provider · Type 1 NPI

James Kevin Gilligan Jr., RD, LD

Registered Dietitian · Mattoon, IL

NPI number 1629453097 Active

Practice location

501 Lake Land Blvd
Mattoon, IL 61938-5283

Call (217) 258-3370 Map

Mailing address

6612 Winnebago St
St. Louis, MO 63109-1245

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X164006502 (IL)
Registered Dietitian 133V00000X2012036779 (MO)

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…

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About NPI 1629453097

James Kevin Gilligan Jr., RD, LD's National Provider Identifier is 1629453097, issued on Jul 27, 2015. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Mattoon, IL. The record was last updated on Jul 27, 2015.