Mrs Kelly Lynn Cuffe, RD, LD, CDE | |
350 N Wall St, Kankakee, IL 60901-2901 | |
(815) 936-6515 | |
(815) 936-6517 |
Full Name | Mrs Kelly Lynn Cuffe |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 350 N Wall St, Kankakee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801095963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.003315 (Illinois) | Primary |
Provider Name | Riverside Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982703005 PECOS PAC ID: 5991608549 Enrollment ID: O20040130000202 |
Mailing Address | Practice Location Address |
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Mrs Kelly Lynn Cuffe, RD, LD, CDE 100 Fitness Dr, Bourbonnais, IL 60914-9584 Ph: (815) 936-6515 | Mrs Kelly Lynn Cuffe, RD, LD, CDE 350 N Wall St, Kankakee, IL 60901-2901 Ph: (815) 936-6515 |
Vicky Lynn Mansberger, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 1905 W Court St, Entrance D, Kankakee, IL 60901 Phone: 815-935-7256 Fax: 815-936-6517 | |
Mrs. Erin B Walker, MPH,RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2235 Fox Run Dr, Kankakee, IL 60901 Phone: 815-401-5358 | |
Jessica Rae Kollmann, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2454 Fax: 815-928-6213 | |
Mrs. Amy Hertz, R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1905 W Court St, Kankakee, IL 60901 Phone: 815-936-6515 Fax: 815-936-6517 | |
Jennifer M Casino, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2445 | |
Ms. Mary Eileen Benz, RDN LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2458 | |
Debbie A Kimberlin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2454 |