| Dizgrow Pllc | |
|
322 Susan Dr Ste C1, Normal, IL 61761-6260 | |
| (701) 484-2217 | |
| (309) 322-6475 |
| Full Name | Dizgrow Pllc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 322 Susan Dr Ste C1, Normal, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528822079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dizgrow Pllc 1902 Berrywood Ln, Bloomington, IL 61704-2433 Ph: (309) 828-6157 | Dizgrow Pllc 322 Susan Dr Ste C1, Normal, IL 61761-6260 Ph: (701) 484-2217 |
Angela Malinowski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-3928 |
Isabelle Molina, MS, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 709 S Main St, Normal, IL 61761 Phone: 224-600-4745 |
Darlene Piper, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 202 S Oak St, Normal, IL 61761 Phone: 309-531-7692 |
Rachel E Bauman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 250, Normal, IL 61761 Phone: 309-268-0000 |
Shelby Holt, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-2981 |
Samantha Codding, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2017 N Kennedy Ln, Normal, IL 61761 Phone: 309-267-8835 |
Paige L Beal, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, Bromenn Diabetes Services, Normal, IL 61761 Phone: 309-268-5952 Fax: 309-268-5451 |