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Ms. Mindy Lee Wallace, RDLDN
Registered Dietitian in Quincy, Illinois
NPI 1851305304

Mindy Lee Wallace is a Registered Dietitian based in Quincy, IL. Mindy Lee Wallace practices in Quincy, IL and has the professional credentials of RDLDN. The NPI Number for Mindy Lee Wallace is 1851305304 and holds a License No. 164003636 (Illinois).

The current practice location address for Mindy Lee Wallace is 935 Jersey St, Quincy, IL and can be reached out via phone at 217-228-2413 and via fax at 217-228-2416. You can also correspond with Mindy Lee Wallace through the mailing address at 2820 E BLUFF CT, QUINCY, IL - 62305-1329 (mailing address contact number: 217-440-6458).

Location: 935 Jersey St, Quincy, IL, 62305-1329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851305304
Provider Name
Mindy Lee Wallace
Credential
RDLDN
Provider Entity Type
Individual
Gender
Female
Address
935 Jersey St, Quincy, IL, 62305-1329
Phone Number
217-228-2413
Fax Number
217-228-2416
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00132009 01 IL BLUE CROSS BLUE SHIELD IL
075113 01 IL QUINCY HEALTH CARE MANAGE
institution
Provider Business Practice Location Address Details
Address
935 Jersey St
City
Quincy
State
Illinois
Zip
62301-4030
Phone Number
217-228-2413
Fax Number
217-228-2416
person
Provider Business Mailing Address Details
Address
935 Jersey St
City
Quincy
State
Illinois
Zip
62301-4030
Phone Number
217-228-2413
Fax Number
217-228-2416
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
164003636 (Illinois)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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