Katelyn Punches, RDN, LDN | |
19403 W Tahoe Dr, Mundelein, IL 60060-4025 | |
(847) 715-8756 | |
Not Available |
Full Name | Katelyn Punches |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 19403 W Tahoe Dr, Mundelein, 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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1811625221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Rush University Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
Provider Name | Revolution Ptwl Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164766606 PECOS PAC ID: 7719115617 Enrollment ID: O20140123001222 |
Mailing Address | Practice Location Address |
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Katelyn Punches, RDN, LDN 19403 W Tahoe Dr, Mundelein, IL 60060-4025 Ph: () - | Katelyn Punches, RDN, LDN 19403 W Tahoe Dr, Mundelein, IL 60060-4025 Ph: (847) 715-8756 |
Susan Kagen Podell, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 560 N Midlothian Rd, Suite 400, Mundelein, IL 60060 Phone: 847-837-8442 Fax: 847-837-8542 | |
Lisa Lorenzi, Dietitian Medicare: Medicare Enrolled Practice Location: 103 S Greenview Ave, Mundelein, IL 60060 Phone: 847-207-7424 | |
Ms. Paige Nicole Parola, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1289 Regent Dr, Mundelein, IL 60060 Phone: 224-535-1589 | |
Ms. Melissa Yvette Mendoza, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 431 S Lake St, Mundelein, IL 60060 Phone: 224-201-6342 |