Mrs Jo Ellen Shield, RD is a
Dietitian, Registered based in Kildeer, Illinois. Mrs Jo Ellen Shield is licensed to practice in Illinois (license number 164000186) and her current practice location is
20428 N Weatherstone Rd, Kildeer, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 305-6503.
NPI number for Mrs Jo Ellen Shield is 1619312071 and her current mailing address is 20428 N Weatherstone Rd, Kildeer, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619312071.
Healthcare Provider's Profile
| Full Name | Mrs Jo Ellen Shield |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 20428 N Weatherstone Rd, Kildeer, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619312071
- Provider Enumeration Date: 04/30/2013
- Last Update Date: 04/30/2013
Medical Identifiers
Medical identifiers for Mrs Jo Ellen Shield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619312071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 164000186 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jo Ellen Shield is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Jo Ellen Shield, RD 20428 N Weatherstone Rd, Kildeer, IL 60047-8537 Ph: (312) 305-6503 | Mrs Jo Ellen Shield, RD 20428 N Weatherstone Rd, Kildeer, IL 60047-8537 Ph: (312) 305-6503 |
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