| Stefanie Riley, RD | |
|
1975 National Blvd, Galesburg, IL 61401-1488 | |
| (309) 344-1100 | |
| (309) 344-1204 |
| Full Name | Stefanie Riley |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1975 National Blvd, Galesburg, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588088777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164005775 (Illinois) | Primary |
| Provider Name | Henry County Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871177477 PECOS PAC ID: 9638570740 Enrollment ID: O20210701003616 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Riley, RD 2717 Clearview Drive, Burlington, IA 52601 Ph: (815) 519-2891 | Stefanie Riley, RD 1975 National Blvd, Galesburg, IL 61401-1488 Ph: (309) 344-1100 |
Mrs. Tania Cynara De Sousa Bezerra, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 Home Blvd, Galesburg, IL 61401 Phone: 309-343-0311 | |
Andrea Tenley, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 546 Olive St, Galesburg, IL 61401 Phone: 309-335-2111 | |
Lynn Bachelder, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1975 National Blvd, Galesburg, IL 61401 Phone: 309-344-1100 Fax: 309-344-2063 |