| Andrea Jean Domas, RD | |
|
1700 W Van Buren St, Suite 425 Tob, Chicago, IL 60612-3218 | |
| (312) 942-3438 | |
| (312) 942-5203 |
| Full Name | Andrea Jean Domas |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 39 Years |
| Location | 1700 W Van Buren St, Chicago, 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 |
|---|---|---|---|
| 1457372898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush University Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rush University Medical Group | 5496658874 | 1134 |
| Provider Name | Rush University Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Jean Domas, RD 1700 W Van Buren St, Suite 425 Tob, Chicago, IL 60612-3218 Ph: (312) 942-3438 | Andrea Jean Domas, RD 1700 W Van Buren St, Suite 425 Tob, Chicago, IL 60612-3218 Ph: (312) 942-3438 |
Mrs. Marissa Lynn Varner, R.D, M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Health Management Office, Chicago, IL 60631 Phone: 773-594-7448 Fax: 773-594-8454 | |
Mrs. Mireya E Renteria, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2355 S Western Ave, Chicago, IL 60608 Phone: 773-650-1220 Fax: 773-650-1218 | |
Vanessa Alicea Matos, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 W Fulton St, Suite 105, Chicago, IL 60612 Phone: 312-850-3438 Fax: 312-638-9872 | |
Mrs. Renee Ann Clerkin, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 W Wabansia Ave, Unit 214, Chicago, IL 60647 Phone: 317-442-5134 | |
Elizabeth Murphy, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1015 W Lawrence Ave, Chicago, IL 60640 Phone: 773-751-1731 | |
Alice Touma, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1525 W Homer St Ste 101, Chicago, IL 60642 Phone: 888-785-7370 | |
Miss Jun Phan, RDN,LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-975-6802 |