John S Sutanto
Nutrition
6s051 Steeple Run Dr
Naperville
, Illinois 60540-3732
(630) 376-0625
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About
Features
Specialties
- Nutrition
Languages spoken
- English
Location
First Address
- John S Sutanto
- 6s051 Steeple Run Dr
- Naperville, IL
- Zip : 60540-3732
- Phone : (630) 376-0625
Second Address
- John S Sutanto
- 6s051 Steeple Run Dr
- Naperville, IL
- Zip : 60540-3732
- Phone : (630) 376-0625
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NN1001X | Nutrition | IL |
National Provider Identifier
| NPI | 1528176021 |
|---|---|
| Provider Name | John S Sutanto |
| First Address | Naperville, IL 60540-3732 |
| Second Address | Naperville, IL 60540-3732 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.