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

Penny Bolen, RD, LDN

Individual provider Registered Dietitian · NPI 1487941886

Penny Bolen, RD, LDN is a Registered Dietitian in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (815) 489-4662
Fax: (815) 961-2438
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.001351 (IL)

Record details

NPI number1487941886
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESJuly 6, 2011

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