| Grace Elizabeth Hensold, RDN, LDN | |
|
8940 N Wood Sage Rd, Peoria, IL 61615-7822 | |
| (309) 243-3464 | |
| Not Available |
| Full Name | Grace Elizabeth Hensold |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 8940 N Wood Sage Rd, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841764362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164007298 (Illinois) | Primary |
| Provider Name | Ilivewell Nutrition Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
| 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 |
|---|---|
| Grace Elizabeth Hensold, RDN, LDN 8940 N Wood Sage Rd, Peoria, IL 61615-7822 Ph: (309) 243-3464 | Grace Elizabeth Hensold, RDN, LDN 8940 N Wood Sage Rd, Peoria, IL 61615-7822 Ph: (309) 243-3464 |
Mrs. Crystal Ann Casper, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7610 N Orange Prarie Road, Peoria, IL 61615 Phone: 309-589-1001 | |
The Fresh Beet Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1609 W Moss Ave, Peoria, IL 61606 Phone: 843-410-8233 | |
Mrs. Patrice Jeanne Cole, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5409 N. Knoxville Ave., Proctor Hospital, Peoria, IL 61614 Phone: 309-691-1056 Fax: 309-689-6010 | |
Karen Ann Hutton, RD, LDN, MA Dietitian Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4957 Fax: 309-672-4953 | |
Mrs. Allyson Cole, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3341 W Pilgrims Way, Peoria, IL 61615 Phone: 815-685-1563 | |
Ashley Simper, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2054 Fax: 309-655-4022 | |
Norma A. Wiser, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-683-5865 Fax: 309-655-7869 |