OrganizationActive
Gentree Nutrition
NPI 1073228243 · Nutritionist · Park Forest, IL
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
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
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.