MEDICARE: ISABEL CHRISTINA PEREZ- CORREA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	164.012222	IL

General Provider Information

NPI Number	:	1477400729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABEL CHRISTINA PEREZ- CORREA

Provider Business Mailing Address
First Line	:	268 SPRINGBROOK TRL S
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-4007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	268 SPRINGBROOK TRL S
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-4007
Country	:	US
Telephone Number	:	815-342-8770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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