| Paige Fullriede, LDN | |
|
1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 | |
| (217) 787-8870 | |
| (217) 787-6158 |
| Full Name | Paige Fullriede |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 3 Years |
| Location | 1118 W Legacy Pointe Dr, Springfield, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548044670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.009255 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hshs Medical Group Inc | 5092857821 | 212 |
| Provider Name | HSHS Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Paige Fullriede, LDN 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 Ph: (217) 787-8870 | Paige Fullriede, LDN 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 Ph: (217) 787-8870 |
Catherine A Naritoku, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 751 N Rutledge St, Lower Level, Springfield, IL 62702 Phone: 217-545-0182 Fax: 217-545-4734 |
Elizabeth Verzo, MS RDN LDN FAND Dietitian Medicare: Not Enrolled in Medicare Practice Location: 718 S 7th St Unit 402, Springfield, IL 62703 Phone: 708-738-2972 |
Rhythm And Nutrition, Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste R, Springfield, IL 62704 Phone: 773-357-6521 |
Jessica R. Stevens, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2200 Wabash Ave, Springfield, IL 62704 Phone: 217-528-7541 |
Anna Ihnen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2100 Claremont Dr, Springfield, IL 62703 Phone: 217-891-1522 |
Anne Elizabeth Daly, MS, RD, BC-ADM, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-747-1351 |
Vjatscheslav Kharitonenkov, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste 5660, Springfield, IL 62704 Phone: 317-757-9667 |