NPI 1639304066 · live from the CMS NPI Registry
Joanne M Ames, R.O.
Dietitian, Registered in Danville, IL. National Provider Identifier 1639304066, active.
NPI record
| NPI | 1639304066 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 707 N Logan Ave, Danville, IL 61832 |
| Practice phone | 217-446-6410 |
| Mailing address | 707 N Logan Ave, Danville Polyclinic, Ltd, Danville, IL 61832 |
| Enumerated | May 29, 2009 |
| Last updated | February 17, 2010 |
| Sole proprietor | No |
| Other names | Joanne Masters |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164001510 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.