| Elizabeth Bruening, MS,RD,CSP,LDN,CDCES | |
|
611 W Park St, Urbana, IL 61801-2529 | |
| (217) 383-3100 | |
| Not Available |
| Full Name | Elizabeth Bruening |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 611 W Park St, Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891495537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164007204 (Illinois) | Primary |
| Provider Name | Carle Health Care Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Bruening, MS,RD,CSP,LDN,CDCES 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-3100 | Elizabeth Bruening, MS,RD,CSP,LDN,CDCES 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-3100 |
Jennifer Caulfield, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Carle Clinic, 602 West University Avenue, Endocrinology, Urbana, IL 61801 Phone: 217-383-5346 | |
Angela Todd, Dietitian Medicare: Not Enrolled in Medicare Practice Location: Provena Covenant Medical Center, 1400 West Park Street, Urbana, IL 61801 Phone: 217-337-4520 | |
Shelly Palmer, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 905 S Goodwin Ave Ofc 567, Urbana, IL 61801 Phone: 217-300-2216 | |
Noelle Park, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2000 | |
Carly Tock, Dietitian Medicare: Medicare Enrolled Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2000 | |
Audra Leigh Cisna, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2890 | |
Whitney R Streitmatter, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Fapc, Urbana, IL 61801 Phone: 217-383-3311 |