| Lisa Marie Micetich, RD | |
|
2800 W 95th St, Evergreen Park, IL 60805-2701 | |
| (708) 229-5429 | |
| (708) 229-5308 |
| Full Name | Lisa Marie Micetich |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2800 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568682284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Micetich, RD 9015 Witham Ln, Woodridge, IL 60517-7621 Ph: (708) 229-5429 | Lisa Marie Micetich, RD 2800 W 95th St, Evergreen Park, IL 60805-2701 Ph: (708) 229-5429 |
Allison Margaret Wildman, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-229-5923 | |
Patricia A Yerkes, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
Aileen Marie Dukelow, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-229-5906 | |
Ms. Louann Marie Sopata, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
Robin Diaz-grady, RD, CSR, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3650 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-7715 Fax: 708-422-7816 | |
Michelle A Potempa, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 |