Courtney Rulynn Southwood, MS, RDN, LDN | |
460 Quail Ridge Dr, Westmont, IL 60559-6145 | |
(630) 986-2800 | |
(630) 986-2440 |
Full Name | Courtney Rulynn Southwood |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 10 Years |
Location | 460 Quail Ridge Dr, Westmont, Illinois |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205357282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.005319 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alexian Brothers Medical Group Specialty Care | 1456636612 | 30 |
Provider Name | Alexian Brothers Medical Group Specialty Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275990061 PECOS PAC ID: 1456636612 Enrollment ID: O20170330001530 |
Mailing Address | Practice Location Address |
---|---|
Courtney Rulynn Southwood, MS, RDN, LDN 460 Quail Ridge Dr, Westmont, IL 60559-6145 Ph: (630) 986-2800 | Courtney Rulynn Southwood, MS, RDN, LDN 460 Quail Ridge Dr, Westmont, IL 60559-6145 Ph: (630) 986-2800 |
Katie M Schmidt, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17 W 56th St, Westmont, IL 60559 Phone: 708-278-0084 | |
Known Chicago S.c. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 460 Quail Ridge Dr, Westmont, IL 60559 Phone: 630-986-2800 | |
Nutritional Consultants, Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3908 N Cass Avenue, Westmont, IL 60559 Phone: 630-674-7539 | |
Hayley Bingen, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 422 N Cass Ave, Westmont, IL 60559 Phone: 630-682-7400 | |
Jasmina Mesic, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 W 60th St Apt A301, Westmont, IL 60559 Phone: 224-770-9996 | |
Elizabeth Ann O'malley, RD, LDN Dietitian Medicare: May Accept Medicare Assignments Practice Location: 460 Quail Ridge Dr, Westmont, IL 60559 Phone: 630-986-2800 Fax: 630-986-2440 |