| Judith Elizabeth Kolish, RD, LDN, CDE | |
|
5225 Old Orchard Rd. Suite 6, Skokie, IL 60077-1057 | |
| (847) 529-6796 | |
| Not Available |
| Full Name | Judith Elizabeth Kolish |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 5225 Old Orchard Rd. Suite 6, 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 |
|---|---|---|---|
| 1124185392 | NPI | - | NPPES |
| 164-002845 | Other | IL | IL STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Elizabeth Kolish, RD, LDN, CDE 2638 W Lake Ave, Glenview, IL 60026-8038 Ph: (847) 529-6796 | Judith Elizabeth Kolish, RD, LDN, CDE 5225 Old Orchard Rd. Suite 6, Skokie, IL 60077-1057 Ph: (847) 529-6796 |
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 | |
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 |