Kelly L Devine, MS, RDN, LDN | |
7224 W College Dr, Palos Heights, IL 60463-1171 | |
(708) 608-9014 | |
(708) 377-0060 |
Full Name | Kelly L Devine |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 7224 W College Dr, Palos Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003001405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.004722 (Illinois) | Primary |
Provider Name | Devine Nutrition Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982012241 PECOS PAC ID: 7214297936 Enrollment ID: O20240604002937 |
Mailing Address | Practice Location Address |
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Kelly L Devine, MS, RDN, LDN 6521 Charleston St, Oak Forest, IL 60452-2626 Ph: (708) 612-0876 | Kelly L Devine, MS, RDN, LDN 7224 W College Dr, Palos Heights, IL 60463-1171 Ph: (708) 608-9014 |
Mary Ann L Hodorowicz, RD, LDN, MBA, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-4145 Fax: 708-923-8337 | |
Miss Anne Marie Vanvossen, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12911 S 71st Ave, Palos Heights, IL 60463 Phone: 708-790-6430 | |
Tara Jeanine Oliva, MPH, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12023 S 71st Ct, Palos Heights, IL 60463 Phone: 708-207-4224 | |
Hannah Nicole Polk, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12717 S Austin Ave, Palos Heights, IL 60463 Phone: 314-398-1494 | |
Megan Sullivan, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12356 S Natchez Ave, Palos Heights, IL 60463 Phone: 708-743-3069 | |
Emma Jubeh, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13341 Ash Ct, Palos Heights, IL 60463 Phone: 708-299-9294 |