Provider Demographics
NPI:1518108273
Name:SUFRANSKI, JASMINE MARIE (MS, RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:MARIE
Last Name:SUFRANSKI
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BARRINGTON RD
Mailing Address - Street 2:ST. ALEXIUS MEDICAL CENTER - OUTPATIENT NUTRITION
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169
Mailing Address - Country:US
Mailing Address - Phone:847-843-2000
Mailing Address - Fax:847-755-7606
Practice Address - Street 1:1555 BARRINGTON RD
Practice Address - Street 2:ST. ALEXIUS MEDICAL CENTER - OUTPATIENT NUTRITION
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-843-2000
Practice Address - Fax:847-755-7606
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164005047133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered