IndividualActive
Fraser Smith, LDN
NPI 1639855034 · Nutritionist · Glen Ellyn, IL
Fraser Smith, LDN is a Nutritionist provider in Glen Ellyn, IL (NPI 1639855034).
Provider details
- NPI number
- 1639855034
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- LDN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 164.008406 (IL)
Practice location
348 Maple St
Glen Ellyn, IL 60137-3812
Phone: (630) 808-0804
Street-level locationGet directions
Mailing address
348 Maple St
Glen Ellyn, IL 60137-3812
Registry dates
- Enumerated
- 2023-06-22
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.