Healthcare Provider Details

I. General information

NPI: 1922624469
Provider Name (Legal Business Name): BRIANNA MESENBRING CNS, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2020
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24016 W MAIN ST
PLAINFIELD IL
60544-2232
US

IV. Provider business mailing address

1842 PLAINFIELD RD
OSWEGO IL
60543-9393
US

V. Phone/Fax

Practice location:
  • Phone: 815-953-6654
  • Fax:
Mailing address:
  • Phone: 815-953-6654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number008022
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: