Mary Miller, | |
1475 E Belvidere Rd, Pavilion C Ste 385, Grayslake, IL 60030-2012 | |
(847) 535-7647 | |
(847) 535-7260 |
Full Name | Mary Miller |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 42 Years |
Location | 1475 E Belvidere Rd, Grayslake, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629169388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 164001864 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
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 |
---|---|
Mary Miller, 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 Ph: (312) 695-9797 | Mary Miller, 1475 E Belvidere Rd, Pavilion C Ste 385, Grayslake, IL 60030-2012 Ph: (847) 535-7647 |
Meghann C Talkington, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 843 Essex Cir, Grayslake, IL 60030 Phone: 618-304-7339 | |
Mr. Patti June Delger, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 542 Jennifer Ln, Grayslake, IL 60030 Phone: 847-548-7810 | |
Mrs. Marisol Kramer, R.D.,L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18707 W Jasmine Ct, Grayslake, IL 60030 Phone: 847-207-2919 | |
Ms. Kathy Anne Mattingly, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 234 Highland Rd, Grayslake, IL 60030 Phone: 847-650-8139 | |
Nancy Lambert, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 997 N Corporate Cir, Grayslake, IL 60030 Phone: 847-868-3435 | |
Ms. Melissa Burin, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 24 W Shore Dr, Grayslake, IL 60030 Phone: 847-722-4323 | |
Ashleigh Hansen, RD, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 316 Gatewood Ln, Grayslake, IL 60030 Phone: 847-651-1384 |