Individual
TARA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
3700 W 203RD ST STE 310, OLYMPIA FLDS, IL 60461-1182
(708) 679-2130
(708) 679-2260
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006439
IL
Other
Enumeration date
07/30/2015
Last updated
05/01/2023
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