| Ms Mindy Lee Wallace, RD LDN | |
|
935 Jersey St, Quincy, IL 62301-4030 | |
| (217) 228-2413 | |
| (217) 228-2416 |
| Full Name | Ms Mindy Lee Wallace |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 935 Jersey St, Quincy, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851305304 | NPI | - | NPPES |
| 00132009 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 075113 | Other | IL | QUINCY HEALTH CARE MANAGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164003636 (Illinois) | Primary |
| 133V00000X | Dietitian, Registered | 2005004105 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mindy Lee Wallace, RD LDN 2820 E Bluff Ct, Quincy, IL 62305-1329 Ph: (217) 440-6458 | Ms Mindy Lee Wallace, RD LDN 935 Jersey St, Quincy, IL 62301-4030 Ph: (217) 228-2413 |
Michelle R Young, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253 | |
Sharon L Harrison, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-1788 | |
Blessing Registered Dieticians Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-1788 | |
Mrs. Luz Adriana Sancen De Brown, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2009 Elm St, Quincy, IL 62301 Phone: 217-228-0828 | |
Mrs. Kimberly M Otter, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 935 Jersey St, Quincy, IL 62301 Phone: 217-228-2413 Fax: 217-228-2416 | |
Miss Madison Ray Darrow I, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1107 College Ave, Quincy, IL 62301 Phone: 217-214-5800 | |
Miss Brittany Marie Winship, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3301 Broadway St, Quincy, IL 62301 Phone: 217-277-4070 Fax: 217-221-4013 |