| Kelly L Devine, MS, RDN, LDN | |
|
10847 W Laporte, Mokena, IL 60448 | |
| (708) 608-9014 | |
| (708) 377-0060 |
| Full Name | Kelly L Devine |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 20 Years |
| Location | 10847 W Laporte, Mokena, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003001405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.004722 (Illinois) | Primary |
| Provider Name | Devine Nutrition Inc |
|---|---|
| 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 |
|---|---|
| Kelly L Devine, MS, RDN, LDN 6521 Charleston St, Oak Forest, IL 60452-2626 Ph: (708) 612-0876 | Kelly L Devine, MS, RDN, LDN 10847 W Laporte, Mokena, IL 60448 Ph: (708) 608-9014 |
Miss Valerie Wass, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19805 S La Grange Rd, Mokena, IL 60448 Phone: 708-938-3378 | |
Brianna Kay Wynne, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19805 S La Grange Rd, Mokena, IL 60448 Phone: 708-938-3378 | |
Cheryl Fitzgerald, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19805 S La Grange Rd, Mokena, IL 60448 Phone: 708-938-3378 | |
Darian Lee Schick, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19805 S La Grange Rd, Mokena, IL 60448 Phone: 708-938-3378 | |
Lauren Windisch, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19805 S La Grange Rd, Mokena, IL 60448 Phone: 708-938-3378 | |
Tyler Loranger, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10846 Front St, Mokena, IL 60448 Phone: 708-536-8801 |