| Talecia Ross, RDN | |
|
140 E Loop Rd, Wheaton, IL 60189-8407 | |
| (312) 243-8487 | |
| Not Available |
| Full Name | Talecia Ross |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 23 Years |
| Location | 140 E Loop Rd, Wheaton, 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 |
|---|---|---|---|
| 1043903198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.004643 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nourish, Inc. | 1557724937 | 288 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Talecia Ross, RDN 140 E Loop Rd, Wheaton, IL 60189-8407 Ph: (312) 243-8487 | Talecia Ross, RDN 140 E Loop Rd, Wheaton, IL 60189-8407 Ph: (312) 243-8487 |
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