NPI 1275320038 · live from the CMS NPI Registry
Mandy Alstead
Dietitian, Registered in Park Ridge, IL. National Provider Identifier 1275320038, active.
NPI record
| NPI | 1275320038 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1775 Dempster St, Park Ridge, IL 60068 |
| Practice phone | 847-723-7403 |
| Mailing address | 6930 N Greenview Ave Apt 708, Chicago, IL 60626 |
| Enumerated | April 23, 2025 |
| Last updated | April 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164010952 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.