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Mrs. Shirley Jean Poole, RDCSPLDN
Pediatric Nutrition Registered Dietitian in Rockford, Illinois
NPI 1205960705

Shirley Jean Poole is a Pediatric Nutrition Registered Dietitian based in Machesney Park, IL and is specialized in Nutrition, Pediatric. Shirley Jean Poole practices in Rockford, IL and has the professional credentials of RDCSPLDN. The NPI Number for Shirley Jean Poole is 1205960705 and holds a License No. (Illinois).

The current practice location address for Shirley Jean Poole is 1401 E State St, Rockford, IL and can be reached out via phone at 815-489-4667 and via fax at 815-964-5404. You can also correspond with Shirley Jean Poole through the mailing address at 11249 CHANEY DR, MACHESNEY PARK, IL - 61115-7438 (mailing address contact number: 815-489-4667).

Location: 1401 E State St, Rockford, IL, 61115-7438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205960705
Provider Name
Shirley Jean Poole
Credential
RDCSPLDN
Provider Entity Type
Individual
Gender
Female
Address
1401 E State St, Rockford, IL, 61115-7438
Phone Number
815-489-4667
Fax Number
815-964-5404
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1401 E State St
City
Rockford
State
Illinois
Zip
61104-2315
Phone Number
815-489-4667
Fax Number
815-964-5404
person
Provider Business Mailing Address Details
Address
1401 E State St
City
Rockford
State
Illinois
Zip
61104-2315
Phone Number
815-489-4667
Fax Number
815-964-5404
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
(Illinois)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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