Provider Demographics
NPI:1679766968
Name:SOOD, ALKA (MS, LD, RD)
Entity Type:Individual
Prefix:MRS
First Name:ALKA
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
Credentials:MS, LD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 SHERWOOD PL
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-8035
Mailing Address - Country:US
Mailing Address - Phone:630-682-4226
Mailing Address - Fax:630-717-7172
Practice Address - Street 1:1917 SHERWOOD PL
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-8035
Practice Address - Country:US
Practice Address - Phone:630-682-4226
Practice Address - Fax:630-717-7172
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL133V00000X, 133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal