Individual
PAOLA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN RDN
Contact information
Practice address
12609 S KROLL DR, ALSIP, IL 60803-3221
(708) 819-2289
Mailing address
4839 W 121ST PL, ALSIP, IL 60803-2943
(708) 819-2289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007195
IL
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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