OrganizationActive
Gentree Nutrition
NPI 1073228243 · Nutritionist · Park Forest, IL
Gentree Nutrition is a Nutritionist organization in Park Forest, IL (NPI 1073228243).
Provider details
- NPI number
- 1073228243
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Teri Broadnax, Licensed Dietitian Nutritionist(708) 897-1612
Practice location
20 Forest Blvd
Park Forest, IL 60466-1753
Phone: (630) 890-3081
Street-level locationGet directions
Mailing address
20 Forest Blvd
Park Forest, IL 60466-1753
Registry dates
- Enumerated
- 2023-01-20
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.