Mrs Danielle Gengo, RD | |
3249 Oak Park Ave, Berwyn, IL 60402-3429 | |
(708) 783-3077 | |
Not Available |
Full Name | Mrs Danielle Gengo |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 25 Years |
Location | 3249 Oak Park Ave, Berwyn, 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 |
---|---|---|---|
1003053612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.003918 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore Infusion Ltd | 2264462977 | 5 |
Provider Name | North Shore Infusion Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528107794 PECOS PAC ID: 2264462977 Enrollment ID: O20050812000514 |
Mailing Address | Practice Location Address |
---|---|
Mrs Danielle Gengo, RD 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: () - | Mrs Danielle Gengo, RD 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-3077 |
Miss Sandra Avitia, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2111 Wesley Ave, Berwyn, IL 60402 Phone: 708-655-5061 | |
Veronika Meyster, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 | |
Ms. Leslie Michele Giambalvo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 Fax: 708-783-0654 | |
Mrs. Michelle Der, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 | |
Jill Gerelle Whitney, RD, LDN, CNSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2694 | |
Alexis Dawn Gonzalez, RDN LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2427 Ridgeland Ave, Berwyn, IL 60402 Phone: 708-745-8220 |