Mrs Julie R Dostal, RD,CDE | |
2401 E Washington St, Ste 300c, Bloomington, IL 61704-4480 | |
(309) 830-0711 | |
(866) 592-3004 |
Full Name | Mrs Julie R Dostal |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 2401 E Washington St, Bloomington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154378826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 164.001279 (Illinois) | Primary |
Provider Name | Food Stuff, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558697326 PECOS PAC ID: 8224163910 Enrollment ID: O20100319000517 |
Mailing Address | Practice Location Address |
---|---|
Mrs Julie R Dostal, RD,CDE 2401 E Washington St, # 300c, Bloomington, IL 61704-4480 Ph: (309) 830-0711 | Mrs Julie R Dostal, RD,CDE 2401 E Washington St, Ste 300c, Bloomington, IL 61704-4480 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 | |
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 |