Organization
ALYSSA BAKER NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA BAKER MS RD (OWNER)
(815) 693-5110
Entity
Organization
Contact information
Practice address
21200 S LAGRANGE RD # 232, FRANKFORT, IL 60423-2003
(815) 693-5110
Mailing address
9241 BIRCH AVE, MOKENA, IL 60448-8326
(815) 693-5110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/07/2021
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