NPI 1285010363 · live from the CMS NPI Registry
Tara Allen, MS, RDN, LDN
Dietitian, Registered in Olympia Flds, IL. National Provider Identifier 1285010363, active.
NPI record
| NPI | 1285010363 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3700 W 203rd St Ste 310, Olympia Flds, IL 60461 |
| Practice phone | 708-679-2130 |
| Mailing address | 35318 Eagle Way, Chicago, IL 60678 |
| Enumerated | July 30, 2015 |
| Last updated | May 1, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164.006439 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.