Individual provider · Type 1 NPI

Heather Sue Illg, RD LD

Registered Dietetic Technician · Urbandale, IA

NPI number 1952704504 Active

Practice location

8701 Douglas Ave
Urbandale, IA 50322-2200

Call (515) 251-5284 Map

Fax (515) 270-2227

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000X01342 (IA)

Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…

13 other providers at this address

About NPI 1952704504

Heather Sue Illg, RD LD's National Provider Identifier is 1952704504, issued on Sep 26, 2014. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Urbandale, IA. The record was last updated on Sep 26, 2014.