Provider Demographics
NPI:1619794682
Name:FINCH, JENNIFER C (RD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:C
Last Name:FINCH
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 1:1551 ALGONQUIN RD # 1122
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-4104
Mailing Address - Country:US
Mailing Address - Phone:847-712-2879
Mailing Address - Fax:
Practice Address - Street 1:1110 HILARY LN
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-1400
Practice Address - Country:US
Practice Address - Phone:847-712-2879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164009551133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered