Ryan T Sanders, RD, LDN | |
800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045-1687 | |
(847) 535-7647 | |
(847) 535-8109 |
Full Name | Ryan T Sanders |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 800 N Westmoreland Rd Ste 102, Lake Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548512221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.005190 (Illinois) | Primary |
Provider Name | Northwestern Medical Faculty Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
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Ryan T Sanders, RD, LDN 1105 Oak Grove Ln, Lake Forest, IL 60045-1631 Ph: (847) 903-1394 | Ryan T Sanders, RD, LDN 800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045-1687 Ph: (847) 535-7647 |
Mrs. Jamie Beth Orlins, MS, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045 Phone: 847-388-0603 Fax: 312-694-1155 | |
Ms. Jessica T Larson, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6806 Fax: 847-535-7851 | |
Mrs. Mary Belluomini Dipietro, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1000 North Westmoreland Rd., Lake Forest, IL 60045 Phone: 224-271-5520 | |
Ms. Charlotte Ann Griffith, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 690 Rockefeller Rd, Lake Forest, IL 60045 Phone: 847-507-3304 | |
Mrs. Colleen Marie Deboer, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6807 | |
Michelle Young, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6330 | |
Kathleen Marie Abernathy, R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6330 Fax: 847-535-7851 |