Lauren Gustafson, MS, RD, LDN | |
3249 Oak Park Ave, Berwyn, IL 60402-3429 | |
(708) 783-3077 | |
Not Available |
Full Name | Lauren Gustafson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3249 Oak Park Ave, Berwyn, 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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1881107787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 164007182 (Illinois) | Primary |
Provider Name | Edward Health Ventures |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
Provider Name | Gottlieb Community Health Services Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
Mailing Address | Practice Location Address |
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Lauren Gustafson, MS, RD, LDN 514 Oakton St, Elk Grove Village, IL 60007-1729 Ph: (224) 558-3892 | Lauren Gustafson, MS, RD, LDN 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-3077 |
Mrs. Danielle Gengo, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 | |
Miss Sandra Avitia, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2111 Wesley Ave, Berwyn, IL 60402 Phone: 708-655-5061 | |
Veronika Meyster, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 | |
Ms. Leslie Michele Giambalvo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 Fax: 708-783-0654 | |
Mrs. Michelle Der, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 | |
Jill Gerelle Whitney, RD, LDN, CNSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2694 | |
Alexis Dawn Gonzalez, RDN LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2427 Ridgeland Ave, Berwyn, IL 60402 Phone: 708-745-8220 |