Alissa Fay Bedtke, LDN
Dietitian, Registered in Oak Lawn, IL. Individual provider (NPI-1).
NPI number1194429316
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1194429316
- Entity type
- Individual (NPI-1)
- Name
- Alissa Fay Bedtke
- Credential
- LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.008702 | IL | Yes |
Practice location
4440 W 95th StOak Lawn, IL 60453-2600
Phone 708-684-3001
Mailing address
6534 N Northwest Hwy Apt 3cChicago, IL 60631-1448
Phone 773-401-1833
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All 21 Registered Dietitian providers in Oak Lawn · All 3,523 providers in Oak Lawn
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