| Stephanie Nichole Allison, MS, RD, LDN, CHES | |
|
460 S Jade Ln, Round Lake, IL 60073-8162 | |
| (847) 668-1639 | |
| Not Available |
| Full Name | Stephanie Nichole Allison |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 460 S Jade Ln, Round Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528650736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.007172 (Illinois) | Primary |
| 133V00000X | Dietitian, Registered | 3240 (Wisconsin) | Secondary |
| Provider Name | Health Loft Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912461799 PECOS PAC ID: 3274866371 Enrollment ID: O20190604003077 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Nichole Allison, MS, RD, LDN, CHES 460 S Jade Ln, Round Lake, IL 60073-8162 Ph: (847) 668-1639 | Stephanie Nichole Allison, MS, RD, LDN, CHES 460 S Jade Ln, Round Lake, IL 60073-8162 Ph: (847) 668-1639 |
Brooke Smith, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 77 W Amberley Dr, Round Lake, IL 60073 Phone: 847-815-0155 | |
Cassandra Hansen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 259 W Prairie Ln, Round Lake, IL 60073 Phone: 847-764-5712 | |
Kathryn Brown, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 325 W Caldwell Dr, Round Lake, IL 60073 Phone: 847-609-6654 |