Individual
ALEX ZACHARY STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
600 W LAKE COOK RD STE 160, BUFFALO GROVE, IL 60089-2091
(847) 632-1880
(847) 520-6095
Mailing address
600 W LAKE COOK RD STE 160, BUFFALO GROVE, IL 60089-2091
(847) 632-1880
(847) 520-6095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164008317
STATE LICENSE
IL
Enumeration date
02/05/2021
Last updated
08/26/2021
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