Grace Chao, MS, RDN, LDN | |
1054 Georgian Pl, Bartlett, IL 60103-7527 | |
(630) 550-8208 | |
Not Available |
Full Name | Grace Chao |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1054 Georgian Pl, Bartlett, 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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1386301505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.006214 (Illinois) | Primary |
Provider Name | Zipongo Health Provider Group P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972146694 PECOS PAC ID: 0547666448 Enrollment ID: O20211110002124 |
Mailing Address | Practice Location Address |
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Grace Chao, MS, RDN, LDN 1054 Georgian Pl, Bartlett, IL 60103-7527 Ph: (630) 550-8208 | Grace Chao, MS, RDN, LDN 1054 Georgian Pl, Bartlett, IL 60103-7527 Ph: (630) 550-8208 |
Andrea Ravlin, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 455 Smoketree Ln, Bartlett, IL 60103 Phone: 630-440-9850 | |
Shruti Shah, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1325 Highpoint Ct, Bartlett, IL 60103 Phone: 630-830-8412 | |
Lynda Firmiss, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 211 Hearthstone Dr, Bartlett, IL 60103 Phone: 630-248-6789 |