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Allyson Cole, RD, LDN

Dietitian, Registered in Peoria, IL. Individual provider (NPI-1).

NPI number1083175301
StatusActive
Last updated in NPPESSep 11, 2023

Details

NPI
1083175301
Entity type
Individual (NPI-1)
Name
Mrs. Allyson Cole
Credential
RD, LDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 28, 2019
Certification date
Sep 11, 2023
Last updated
Sep 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes
133VN1004X Dietitian, Registered, Nutrition, Pediatric–IL

Practice location

3341 W Pilgrims Way
Peoria, IL 61615-9512

Phone 815-685-1563

Mailing address

3341 W Pilgrims Way
Peoria, IL 61615-9512

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