| Lakeside Digestion Pllc | |
|
501 Sherman Ave, Evanston, IL 60202-2815 | |
| (773) 319-7319 | |
| Not Available |
| Full Name | Lakeside Digestion Pllc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 501 Sherman Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053941112 | NPI | - | NPPES |
| 1861701500 | Other | NPI NICHOLAS PALUMBO | |
| 164005341 | Other | IL | RD LICENSE NICHOLAS PALUMBO |
| 248002576 | Other | IL | BUSINESS LICENSE LAKESIDE DIGESTION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Digestion Pllc 501 Sherman Ave, Evanston, IL 60202-2815 Ph: (224) 900-7562 | Lakeside Digestion Pllc 501 Sherman Ave, Evanston, IL 60202-2815 Ph: (773) 319-7319 |
Bogumila W Czaplinski, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2953 Central St Fl 1, Evanston, IL 60201 Phone: 847-869-9436 Fax: 847-869-9491 | |
Ms. Merle Rose Shapera, MS,RD,CDE,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1572 Maple Avenue, Unit 604, Evanston, IL 60201 Phone: 708-415-2693 Fax: 708-763-1014 | |
Mrs. Ilene Terri Wynn, R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1560 Sherman Ave, Suite #400, Evanston, IL 60201 Phone: 847-869-1500 Fax: 847-869-1515 | |
Allison Wall, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1011 Ashland Ave Fl 2, Evanston, IL 60202 Phone: 847-691-0442 | |
A New Leaf Natural Medicine Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 708 Church St, Evanston, IL 60201 Phone: 847-903-0503 | |
Elyse Roel, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, B106b, Evanston, IL 60201 Phone: 847-570-1987 |