Ellen Shepherd, RD | |
10450 Algonquin Rd Ste 100a, Huntley, IL 60142-7064 | |
(815) 334-5566 | |
(847) 802-7259 |
Full Name | Ellen Shepherd |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 10450 Algonquin Rd Ste 100a, Huntley, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831817618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 164005986 (Illinois) | Primary |
Provider Name | Central Dupage Physician Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
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Ellen Shepherd, RD 10450 Algonquin Rd Ste 100a, Huntley, IL 60142-7064 Ph: (815) 334-5566 | Ellen Shepherd, RD 10450 Algonquin Rd Ste 100a, Huntley, IL 60142-7064 Ph: (815) 334-5566 |
Lori Kelso, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10450 Algonquin Rd Ste 100a, Huntley, IL 60142 Phone: 815-334-5566 Fax: 847-802-7259 | |
Efthemia Greco, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9654 Kelley Ln, Huntley, IL 60142 Phone: 630-750-0955 | |
Jennifer N Fleming, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10450 Algonquin Rd Ste 100a, Huntley, IL 60142 Phone: 815-334-5566 Fax: 847-802-7259 | |
Mrs. Anne Borris, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10350 Haligus Rd Ste 220, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7231 | |
Olive Branch Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9654 Kelley Ln, Huntley, IL 60142 Phone: 630-750-0955 | |
Jacob Smerecky, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10400 Haligus Rd, Huntley, IL 60142 Phone: 224-654-0387 | |
Lindsey Shaffer, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10450 Algonquin Rd Ste 100a, Huntley, IL 60142 Phone: 815-334-5566 Fax: 847-802-7259 |