IndividualActive
Alexa Eberhard, CCN, LDN
NPI 1043708795 · Nutritionist · Tinley Park, IL
Provider details
- NPI number
- 1043708795
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- CCN, LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 164.006837 (IL)
Mailing address
17023 Harlem Ave
Tinley Park, IL 60477-2739
Registry dates
- Enumerated
- 2018-04-27
- Last updated
- 2023-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.