Provider Demographics
NPI:1013956069
Name:ANAND, VANITA S (RD)
Entity Type:Individual
Prefix:
First Name:VANITA
Middle Name:S
Last Name:ANAND
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19W278 GOVERNORS TRL
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1030
Mailing Address - Country:US
Mailing Address - Phone:630-674-7539
Mailing Address - Fax:630-214-0278
Practice Address - Street 1:19W278 GOVERNORS TRL
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1030
Practice Address - Country:US
Practice Address - Phone:630-674-7539
Practice Address - Fax:630-214-0278
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164000665133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered