IndividualActive
Rebecca Antonacci, RD, CDE
NPI 1760463665 · Nutrition Education Nutritionist · Springfield, IL
Provider details
- NPI number
- 1760463665
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- RD, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 164002929 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
415 N 9th St
Ste 6w162
Springfield, IL 62702-5303
Phone: (217) 545-3848
Fax: (217) 545-4912
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19640
Springfield, IL 62794-9640
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2010-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.