IndividualActive
Alexandra Ishmael, LICENSED DIETITIAN
NPI 1265099758 · Registered Dietitian · Springfield, IL
Provider details
- NPI number
- 1265099758
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- LICENSED DIETITIAN
- Sex
- Female
- Sole proprietor
- No
Practice location
319 E Madison St Ste 1f
Springfield, IL 62701-1035
Phone: (217) 788-3948
Fax: (217) 527-3209
Mailing address
Po Box 3428
Springfield, IL 62708-3428
Registry dates
- Enumerated
- 2019-05-21
- Last updated
- 2019-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.