Mr Jason Caraballo, RD/LDN | |
430 Warrenville Rd Ste 300, Lisle, IL 60532-1348 | |
(630) 364-7850 | |
(630) 432-6604 |
Full Name | Mr Jason Caraballo |
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Gender | Male |
Speciality | Dietitian, Registered - Nutrition, Metabolic |
Location | 430 Warrenville Rd Ste 300, Lisle, 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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1568893535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 164005934 (Illinois) | Primary |
Provider Name | Dupage Medical Group Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031105000555 |
Mailing Address | Practice Location Address |
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Mr Jason Caraballo, RD/LDN Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Mr Jason Caraballo, RD/LDN 430 Warrenville Rd Ste 300, Lisle, IL 60532-1348 Ph: (630) 364-7850 |
Jennifer Westerkamp, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 Warrenville Rd Ste 210, Lisle, IL 60532 Phone: 312-664-3456 Fax: 312-588-7255 | |
Mrs. Kelly Wynne Minarick, RD, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 650 Warrenville Rd Ste 100, Lisle, IL 60532 Phone: 847-318-3013 Fax: 833-290-5413 | |
Dupagedietitians Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3080 Ogden Ave, 104, Lisle, IL 60532 Phone: 630-839-9296 Fax: 630-364-1873 | |
Mrs. Deepa Deshmukh, MPH,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3080 Ogden Ave, Lisle, IL 60532 Phone: 630-839-9296 | |
Emma Cone, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 Warrenville Rd Ste 210, Lisle, IL 60532 Phone: 312-664-3456 | |
Kianna Cook, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 Warrenville Road, Suite 210, Lisle, IL 60532 Phone: 919-268-2363 | |
Marina Kassandra Hale, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5900 Oakwood Dr Apt 1k, Lisle, IL 60532 Phone: 818-378-2583 |