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

Individual provider Nutritionist · NPI 1447964499

Teri Broadnax, LDN, CNS is a Nutritionist in Park Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

20 Forest Blvd
Park Forest, IL 60466-1753
Phone: (630) 890-3081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X (IL)

Record details

NPI number1447964499
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDN , CNS
Sole proprietorNo
NPI enumeratedJanuary 12, 2023
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

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