Mrs Stephanie Sharp, MS RD LDN | |
5000 S 5th Ave, Hines, IL 60141-3030 | |
(708) 202-8387 | |
Not Available |
Full Name | Mrs Stephanie Sharp |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 5000 S 5th Ave, Hines, 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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1528497294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 1067413 (Illinois) | Primary |
Provider Name | Ilivewell Nutrition Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Mrs Stephanie Sharp, MS RD LDN 5000 S 5th Ave, Hines, IL 60141-3030 Ph: () - | Mrs Stephanie Sharp, MS RD LDN 5000 S 5th Ave, Hines, IL 60141-3030 Ph: (708) 202-8387 |
Caitlin O'rourke, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines Va Hospital, Hines, IL 60141 Phone: 708-514-2809 | |
Chelsea R Keaton, R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, 120d Nutrition & Food Services, Hines, IL 60141 Phone: 708-202-8387 Fax: 708-202-2252 | |
Matthew D Knight, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 | |
Ms. Carrie Hintzke, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5th Ave And Roosevelt Rd, Mail Route 120b, Hines, IL 60141 Phone: 708-202-5089 | |
Kathleen Elizabeth Heintz-miller, RD, CNSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5th Ave. And Roosevelt Rd., Mail Route 120, Hines, IL 60141 Phone: 708-202-8387 | |
Cassie Castillo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Building 1 Room E338, Hines, IL 60141 Phone: 708-202-8387 | |
Angela Sberna, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-4864 |