Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Illinois Nutrition Specialties

Organization Registered Dietitian · NPI 1487700696

Southern Illinois Nutrition Specialties is a Registered Dietitian in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

1350 Cedar Ct
Carbondale, IL 62901-5336
Phone: (618) 942-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (IL)

Record details

NPI number1487700696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Trentacosti — Owner · (618) 942-7300
NPI enumeratedJanuary 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 3301, Carbondale, IL 62902-3301

Other providers in Carbondale