Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paola Ambrose, LDNRDN

Individual provider Registered Dietitian · NPI 1518828169

Paola Ambrose, LDNRDN is a Registered Dietitian in Alsip, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

12609 S Kroll Dr
Alsip, IL 60803-3221
Phone: (708) 819-2289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164007195 (IL)

Record details

NPI number1518828169
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDNRDN
Sole proprietorYes
NPI enumeratedNovember 22, 2025
Last updated in NPPESNovember 22, 2025
Certification dateNovember 22, 2025

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