Brianna Danielle Denton, RD, LDN | |
11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | |
(708) 684-6867 | |
Not Available |
Full Name | Brianna Danielle Denton |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 11600 S Kedzie Ave, Merrionette Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639892144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 164.008787 (Illinois) | Primary |
Provider Name | Advocate Health And Hospitals Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
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Brianna Danielle Denton, RD, LDN 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Brianna Danielle Denton, RD, LDN 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 Ph: (708) 684-6867 |
Mr. David John Kats, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 11600 S Kedzie Ave Ste 285, Merrionette Park, IL 60803 Phone: 708-272-4172 Fax: 847-723-8612 | |
Marcella A Doucet, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11630 S Kedzie Ave, Merrionette Park, IL 60803 Phone: 708-438-8032 Fax: 708-389-9088 |