| Mrs Mary Ann Shannon, RD LD | |
|
1801 Holly Ave, Darien, IL 60561-3516 | |
| (630) 347-0526 | |
| Not Available |
| Full Name | Mrs Mary Ann Shannon |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1801 Holly Ave, Darien, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245619493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 443568 (Illinois) | Primary |
| Provider Name | Ad Medical Supply Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629015904 PECOS PAC ID: 0648173120 Enrollment ID: O20131022001869 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Ann Shannon, RD LD 1801 Holly Ave, Darien, IL 60561-3516 Ph: (630) 347-0526 | Mrs Mary Ann Shannon, RD LD 1801 Holly Ave, Darien, IL 60561-3516 Ph: (630) 347-0526 |
The Inclusive Dietitian Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8420 Evergreen Ln, Darien, IL 60561 Phone: 864-838-1517 | |
Kayleebtherd,llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7966 Knottingham Cir Apt B, Darien, IL 60561 Phone: 309-825-0294 Fax: 309-825-0294 | |
Kathryn Richter, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9000 Brandon Rd, Darien, IL 60561 Phone: 630-985-6590 | |
Jonathan Reynoso, RDN, LDN, CSCS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7129 Crest Rd, Darien, IL 60561 Phone: 630-880-3388 | |
Kaylee Kussmann, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7966 Knottingham Cir Apt B, Darien, IL 60561 Phone: 309-825-0294 |