Alla Kos, RDN

Individual provider Active NPI Registered Dietitian · Norridge, IL

NPI 1295593978 · NPPES record last updated Mar 7, 2024

Key facts

NPI
1295593978
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
4525 N Orange Ave
Norridge, IL 60706-4424
Phone
(312) 536-9799
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

4525 N Orange Ave
Norridge, IL 60706-4424

Mailing address

4525 N Orange Ave
Norridge, IL 60706-4424
Phone (312) 536-9799

Other providers in Norridge, IL

All providers in Norridge, IL · Registered Dietitian in Illinois

Sources for this page

Verify at the official NPI Registry.