Sofia Maddalena Colantuono, RD | |
825 Provincetown Dr, Carol Stream, IL 60188-4725 | |
(331) 645-1036 | |
Not Available |
Full Name | Sofia Maddalena Colantuono |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 825 Provincetown Dr, Carol Stream, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588383376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Health Loft Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912461799 PECOS PAC ID: 3274866371 Enrollment ID: O20190604003077 |
Mailing Address | Practice Location Address |
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Sofia Maddalena Colantuono, RD 825 Provincetown Dr, Carol Stream, IL 60188-4725 Ph: (331) 645-1036 | Sofia Maddalena Colantuono, RD 825 Provincetown Dr, Carol Stream, IL 60188-4725 Ph: (331) 645-1036 |
Isabel Albers, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1n202 Ellis Ave, Carol Stream, IL 60188 Phone: 331-425-3193 | |
Ana Martinez, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 750 Iroquois Trl, Carol Stream, IL 60188 Phone: 630-903-0423 | |
Designed For Health Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1n202 Ellis Ave, Carol Stream, IL 60188 Phone: 331-425-3193 |