| Walsh Nutrition Group, Inc. | |
|
1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | |
| (630) 308-8706 | |
| Not Available |
| Full Name | Walsh Nutrition Group, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992299788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 164002859 (Illinois) | Primary |
| Provider Name | Laura Walsh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639663412 PECOS PAC ID: 1355756792 Enrollment ID: I20210218000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Walsh Nutrition Group, Inc. 808 S Ashland Ave, La Grange, IL 60525-2817 Ph: (630) 308-8706 | Walsh Nutrition Group, Inc. 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 Ph: (630) 308-8706 |
Agne Siksnaite, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15w305 91st St, Burr Ridge, IL 60527 Phone: 630-999-6483 | |
Monica Rojas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527 Phone: 773-702-5957 | |
Laura Walsh, LDN, RDN, CPT Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527 Phone: 630-308-8706 | |
Gina Nikoleit, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527 Phone: 630-308-8706 | |
Alina Pittman, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 200 S Frontage Rd Ste 320, Burr Ridge, IL 60527 Phone: 630-423-5998 |