| Food Stuff, Inc. | |
|
10338 N 1750 East Rd, Bloomington, IL 61705-5950 | |
| (309) 830-0711 | |
| (866) 592-3004 |
| Full Name | Food Stuff, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 10338 N 1750 East Rd, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558697326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.001279 (Illinois) | Primary |
| Provider Name | Julie R Dostal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154378826 PECOS PAC ID: 4587559786 Enrollment ID: I20040217000740 |
| Mailing Address | Practice Location Address |
|---|---|
| Food Stuff, Inc. 10338 N 1750 East Rd, Bloomington, IL 61705-5950 Ph: (309) 830-0711 | Food Stuff, Inc. 10338 N 1750 East Rd, Bloomington, IL 61705-5950 Ph: (309) 830-0711 |
Rachel Wayne, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026 | |
Mrs. Julie R Dostal, RD,CDE Dietitian Medicare: Medicare Enrolled Practice Location: 2401 E Washington St, Ste 300c, Bloomington, IL 61704 Phone: 309-830-0711 Fax: 866-592-3004 | |
Paige Carey, MS, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-268-3927 | |
Angela Kaye Disbrow, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 512 Kreitzer Ave, Bloomington, IL 61701 Phone: 309-828-6157 Fax: 309-322-6475 | |
Elayna Fehr, MS, RDN, LDN, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 207 E Hamilton Rd, Bloomington, IL 61704 Phone: 209-827-4090 | |
Mrs. Ellen Roth, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9 Heartland Dr Ste C, Bloomington, IL 61704 Phone: 309-663-7643 Fax: 309-663-8359 | |
Bonnie Williams, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3314 Barrington Rd, Bloomington, IL 61704 Phone: 801-703-3303 |