Jessica R Stevens, RD | |
2200 Wabash Ave, Springfield, IL 62704-5352 | |
(217) 528-7541 | |
Not Available |
Full Name | Jessica R Stevens |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2200 Wabash Ave, Springfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1033521323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 164006198 (Illinois) | Primary |
Provider Name | Ssm Cardinal Glennon Children's Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
Mailing Address | Practice Location Address |
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Jessica R Stevens, RD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Jessica R Stevens, RD 2200 Wabash Ave, Springfield, IL 62704-5352 Ph: (217) 528-7541 |
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 | |
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: Medicare Enrolled Practice Location: 520 N 4th St, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-747-1351 | |
Sara A Lopinski, RD Dietitian Medicare: Medicare Enrolled Practice Location: 751 N Rutledge St, Suite 2300, Springfield, IL 62702 Phone: 217-545-3821 Fax: 217-545-9125 | |
Christine Catalano, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 751 N Rutledge St Fl 1, Springfield, IL 62702 Phone: 217-545-8000 | |
Micca Lynn Donohoo, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Food And Nutrition Office, Springfield, IL 62781 Phone: 217-788-3477 Fax: 217-788-5569 |