Provider Demographics
NPI:1780281873
Name:POST, ALYSSA MARIE (RDN, LDN)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MARIE
Last Name:POST
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 ROLLINGRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8298
Mailing Address - Country:US
Mailing Address - Phone:630-901-3512
Mailing Address - Fax:
Practice Address - Street 1:3512 ROLLINGRIDGE RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8298
Practice Address - Country:US
Practice Address - Phone:630-901-3512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164.008169133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered