IndividualActive
Heather Illg, RD LD
NPI 1952704504 · Registered Dietetic Technician · Urbandale, IA
Provider details
- NPI number
- 1952704504
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- RD LD
- Sex
- Female
- Sole proprietor
- No
- License
- 01342 (IA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
8701 Douglas Ave
Urbandale, IA 50322-2200
Phone: (515) 251-5284
Fax: (515) 270-2227
Approximate (ZIP-level) locationGet directions
Mailing address
8701 Douglas Ave
Urbandale, IA 50322-2200
Registry dates
- Enumerated
- 2014-09-26
- Last updated
- 2014-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.