| Michelle Nussbaum, MS, RDN, CDCES | |
|
1713 W Julian St Apt 3f, Chicago, IL 60622-7920 | |
| (847) 530-2853 | |
| Not Available |
| Full Name | Michelle Nussbaum |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1713 W Julian St Apt 3f, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518664036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.007405 (Illinois) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Provider Name | Jonathan Larson Md Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487334843 PECOS PAC ID: 8224491501 Enrollment ID: O20230928001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Nussbaum, MS, RDN, CDCES 1713 W Julian St Apt 3f, Chicago, IL 60622-7920 Ph: (847) 530-2853 | Michelle Nussbaum, MS, RDN, CDCES 1713 W Julian St Apt 3f, Chicago, IL 60622-7920 Ph: (847) 530-2853 |
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 |