Most Relevant Information
Provider Data
| NPI Number: | 1003401811 |
| Provider Name: | DEANNA MARIE CANCELLO RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86098532 |
Most Important Dates
| Enumeration Date: | 03/03/2021 |
| Last Updated: | 03/03/2021 |
Provider Practice Location
2420 RAVINE WAY STE 400
GLENVIEW
IL
600257651
Practice Location Phone/Fax
| Phone: | 6476864444 |
| Fax: |
Provider Mailing Location
2420 RAVINE WAY STE 400
GLENVIEW
IL
600257651
Provider Mailing Phone/Fax
| Phone: | 6476864444 |
| Fax: |