| Elite Body Data, Llc | |
|
222 S Prospect Ave, Park Ridge, IL 60068-4037 | |
| (872) 203-1871 | |
| Not Available |
| Full Name | Elite Body Data, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 222 S Prospect Ave, Park Ridge, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972424463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Body Data, Llc 165 S Weston Ave, Elgin, IL 60123-6076 Ph: (872) 203-1871 | Elite Body Data, Llc 222 S Prospect Ave, Park Ridge, IL 60068-4037 Ph: (872) 203-1871 |
Elizabeth Dejulius, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 826 W Touhy Ave, Park Ridge, IL 60068 Phone: 847-825-0770 Fax: 312-648-0155 |
Mr. Matthew Michael Lauck, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068 Phone: 847-318-2729 |
Mrs. Srisakthisolachi Ramanathan, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068 Phone: 847-318-2400 Fax: 847-318-3414 |
Allison Parker Koch, RDN, CSSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 826 W Touhy Ave, Park Ridge, IL 60068 Phone: 847-825-0070 Fax: 312-648-0155 |
Catherine Labella, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-8353 |
Mandy Alstead, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-7403 |
Jennifer King Shay, RDN,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-9640 |