Melissa A Sujak, | |
259 E Erie St, Suite 2200, Chicago, IL 60611-2987 | |
(312) 926-6000 | |
(312) 926-6344 |
Full Name | Melissa A Sujak |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 26 Years |
Location | 259 E Erie St, Chicago, 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 |
---|---|---|---|
1932280005 | NPI | - | NPPES |
875747 | Other | IL | CERTIFICATION |
164003169 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164003169 (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 |
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Melissa A Sujak, 259 E Erie St, Suite 2200, Chicago, IL 60611-2987 Ph: (312) 926-6000 | Melissa A Sujak, 259 E Erie St, Suite 2200, Chicago, IL 60611-2987 Ph: (312) 926-6000 |
Mrs. Marissa Lynn Varner, R.D, M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Health Management Office, Chicago, IL 60631 Phone: 773-594-7448 Fax: 773-594-8454 | |
Mrs. Mireya E Renteria, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2355 S Western Ave, Chicago, IL 60608 Phone: 773-650-1220 Fax: 773-650-1218 | |
Vanessa Alicea Matos, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 W Fulton St, Suite 105, Chicago, IL 60612 Phone: 312-850-3438 Fax: 312-638-9872 | |
Mrs. Renee Ann Clerkin, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 W Wabansia Ave, Unit 214, Chicago, IL 60647 Phone: 317-442-5134 | |
Elizabeth Murphy, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1015 W Lawrence Ave, Chicago, IL 60640 Phone: 773-751-1731 | |
Alice Touma, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1525 W Homer St Ste 101, Chicago, IL 60642 Phone: 888-785-7370 | |
Miss Jun Phan, RDN,LDN Dietitian Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-975-6802 |