Emilia Baczek, RD, CDCES | |
9977 Woods Dr Ste 300, Skokie, IL 60077-1057 | |
(847) 663-8514 | |
Not Available |
Full Name | Emilia Baczek |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 9977 Woods Dr Ste 300, Skokie, 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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1770231490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 164.005461 (Illinois) | Primary |
Provider Name | Northshore University Healthsystem Faculty Practice Associates |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
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Emilia Baczek, RD, CDCES 522 Greenwood St Apt 3w, Evanston, IL 60201-4758 Ph: (773) 322-9856 | Emilia Baczek, RD, CDCES 9977 Woods Dr Ste 300, Skokie, IL 60077-1057 Ph: (847) 663-8514 |
Marissa Gabona Domingo-zahiruddin, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8112 Crawford Ave, Skokie, IL 60076 Phone: 773-787-9161 | |
Mrs. Nora Roy Benesa, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8201 Crawford Ave, Skokie, IL 60076 Phone: 847-675-8653 | |
Mrs. Katarina Krstic, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10115 Old Orchard Ct Unit 301, Skokie, IL 60076 Phone: 224-600-0053 | |
Judith Elizabeth Kolish, RD, LDN, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 5225 Old Orchard Rd. Suite 6, Skokie, IL 60077 Phone: 847-529-6796 | |
Miss Patricia Ann Gaines, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9600 Gross Point Road., Skokie, IL 60016 Phone: 847-933-6802 Fax: 847-933-6807 | |
Lizabeth Gold, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5230 Old Orchard Rd, Skokie, IL 60077 Phone: 847-492-3040 Fax: 847-492-3045 | |
Ms. Christine Ann Ross, RD, LDN, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 847-663-8508 Fax: 847-663-8515 |