| Lauren Gustafson, MS, RD, LDN | |
|
3249 Oak Park Ave, Berwyn, IL 60402-3429 | |
| (708) 783-3077 | |
| Not Available |
| Full Name | Lauren Gustafson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3249 Oak Park Ave, Berwyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881107787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164007182 (Illinois) | Primary |
| Provider Name | Edward Health Ventures |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Gustafson, MS, RD, LDN 514 Oakton St, Elk Grove Village, IL 60007-1729 Ph: (224) 558-3892 | Lauren Gustafson, MS, RD, LDN 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-3077 |
Mrs. Danielle Gengo, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 | |
Miss Sandra Avitia, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2111 Wesley Ave, Berwyn, IL 60402 Phone: 708-655-5061 | |
Veronika Meyster, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 | |
Ms. Leslie Michele Giambalvo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 Fax: 708-783-0654 | |
Mrs. Michelle Der, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3077 | |
Jill Gerelle Whitney, RD, LDN, CNSD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2694 | |
Alexis Dawn Gonzalez, RDN LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2427 Ridgeland Ave, Berwyn, IL 60402 Phone: 708-745-8220 |