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Alyssa Baker Nutrition LLC

Dietitian, Registered in Frankfort, IL. Organization (NPI-2).

NPI number1982194890
StatusActive
Last updated in NPPESMay 7, 2021

Details

NPI
1982194890
Entity type
Organization (NPI-2)
Legal business name
Alyssa Baker Nutrition LLC
Organization subpart
No
Enumeration date
May 16, 2018
Certification date
Apr 12, 2021
Last updated
May 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

21200 S Lagrange Rd # 232
Frankfort, IL 60423-2003

Phone 815-693-5110

Mailing address

9241 Birch Ave
Mokena, IL 60448-8326

Phone 815-693-5110

Other practice locations

8032 Enclave Ln
Tinley Park, IL 60487-7029

Phone 815-693-5110

Authorized official

Alyssa Baker
Owner
8156935110

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Other Registered Dietitian providers in Frankfort, IL

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