| Conway Nutrition Services, Inc. | |
|
5328 Fawn Ct, Oak Forest, IL 60452-2200 | |
| (708) 305-4402 | |
| (708) 535-2268 |
| Full Name | Conway Nutrition Services, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 5328 Fawn Ct, Oak Forest, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154785442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.001485 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Nutrition Services, Inc. 5328 Fawn Ct, Oak Forest, IL 60452-2200 Ph: (708) 305-4402 | Conway Nutrition Services, Inc. 5328 Fawn Ct, Oak Forest, IL 60452-2200 Ph: (708) 305-4402 |
Samantha Lynn Gerry, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6830 W Winding Trl Unit 102, Oak Forest, IL 60452 Phone: 708-446-4355 | |
Nutrition Ambitions Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6830 W Winding Trl Unit 102, Oak Forest, IL 60452 Phone: 708-446-4355 | |
Jennifer Woods Conway, RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5328 Fawn Ct, Oak Forest, IL 60452 Phone: 708-305-4402 Fax: 708-535-2268 |