Katherine Whited, RD, LDN | |
15300 West Ave Ste 108, Orland Park, IL 60462-4685 | |
(708) 226-2318 | |
(708) 226-2319 |
Full Name | Katherine Whited |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 15300 West Ave Ste 108, Orland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386306694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1301X | Dietitian, Registered - Nutrition, Oncology | 164.007824 (Illinois) | Secondary |
133V00000X | Dietitian, Registered | 164007824 (Illinois) | Primary |
Provider Name | Northwestern Medical Faculty Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
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Katherine Whited, RD, LDN 15300 West Ave Ste 108, Orland Park, IL 60462-4685 Ph: (708) 226-2318 | Katherine Whited, RD, LDN 15300 West Ave Ste 108, Orland Park, IL 60462-4685 Ph: (708) 226-2318 |
Veronica Lode, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11601 Hidden Valley Cv, Orland Park, IL 60467 Phone: 708-205-4035 | |
Ms. Rawan Zayyat, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15640 Heatherglen Dr, Orland Park, IL 60462 Phone: 708-668-8882 | |
Joy Mattson-petrusha, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Ste 221, Orland Park, IL 60462 Phone: 708-590-5300 Fax: 708-590-5310 | |
Manipura Centre For Women's Health Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9750 Crescent Park Cir Unit 255, Orland Park, IL 60462 Phone: 800-209-5139 | |
Norma Ponce De Leon, R.D., LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10628 W 154th Pl, Orland Park, IL 60462 Phone: 773-895-3214 | |
Lauren Renee Usauskas, RDN, LDN, CD Dietitian Medicare: Medicare Enrolled Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-873-2502 |