IndividualActive
Douglas Drenckpohl, DCN, RD
NPI 1194526210 · Pediatric Nutrition Registered Dietitian · Peoria, IL
Provider details
- NPI number
- 1194526210
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- DCN, RD
- Sex
- Male
- Sole proprietor
- No
- License
- 164002914 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
530 Ne Glen Oak Ave
Peoria, IL 61637
Phone: (309) 624-0621
Fax: (309) 624-4291
Approximate (ZIP-level) locationGet directions
Mailing address
1112 N. Underhill
Peoria, IL 61606
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.