Individual
ALLISON PARKER KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CSSD
Contact information
Practice address
826 W TOUHY AVE, PARK RIDGE, IL 60068-3352
(847) 825-0070
(312) 648-0155
Mailing address
619 W JACKSON BLVD, CHICAGO, IL 60661-5606
(847) 825-0770
(312) 648-0155
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006301
IL
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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