| Amanda R Larrea, RD | |
|
12004 S Route 59 Unit 100, Plainfield, IL 60585-5108 | |
| (630) 364-7850 | |
| (630) 432-6604 |
| Full Name | Amanda R Larrea |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 12004 S Route 59 Unit 100, Plainfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952024952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164-009042 (Illinois) | Primary |
| Provider Name | Dupage Medical Group Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031105000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda R Larrea, RD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Amanda R Larrea, RD 12004 S Route 59 Unit 100, Plainfield, IL 60585-5108 Ph: (630) 364-7850 |
Roma Vasudev Seat, RN, RD, CLC, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 24014 W Renwick Rd Unit 105, Plainfield, IL 60544 Phone: 773-505-7662 | |
Open Arms Lactation Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 24014 W Renwick Rd Unit 105, Plainfield, IL 60544 Phone: 773-505-7662 | |
Alicia Kouba, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2227 Stonehaven Dr, Plainfield, IL 60586 Phone: 815-342-4342 | |
Lara Hamilton, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 24020 W Riverwalk Ct Ste 304, Plainfield, IL 60544 Phone: 630-286-5090 | |
Suzanne Berkley, R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25021 W Prairie Grove Dr, Plainfield, IL 60585 Phone: 847-507-3757 | |
Way To Grow Nutrition Therapy, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 22840 Eider Ct, Plainfield, IL 60585 Phone: 815-207-1240 Fax: 630-206-1656 | |
Rebecca Collins, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2521 Riverwalk Dr, Plainfield, IL 60586 Phone: 815-302-7118 |