Lori Costigan, RD, LDN | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(708) 216-9000 | |
Not Available |
Full Name | Lori Costigan |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2160 S 1st Ave, Maywood, 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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1760118426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Loyola University Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
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Lori Costigan, RD, LDN 719 W North Ave, Melrose Park, IL 60160-1612 Ph: () - | Lori Costigan, RD, LDN 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Therese Degroot, RD, LDN,CDE Dietitian Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5836 | |
Claire Harper, RD, LDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-327-2076 | |
Natalie Bartos, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8691 | |
Ashley Datinguinoo, Dietitian Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3449 | |
Dr. Ann Kathleen O'neill, RD, MD Dietitian Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Elizabeth Jones, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave Bldg 150, Maywood, IL 60153 Phone: 708-216-9103 Fax: 708-216-8057 |