IndividualActive
Melissa Smith
NPI 1164073979 · Nutritionist · Champaign, IL
Melissa Smith is a Nutritionist provider in Champaign, IL (NPI 1164073979).
Provider details
- NPI number
- 1164073979
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 164004906 (IL)
Practice location
2501 Fields South Dr
Champaign, IL 61822-3733
Phone: (217) 239-2713
Fax: (217) 356-7964
Street-level locationGet directions
Mailing address
2501 Fields South Dr
Champaign, IL 61822-3733
Registry dates
- Enumerated
- 2019-09-23
- Last updated
- 2019-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.