Rebecca A Antonacci, RD, CDE is a
Nutritionist - Nutrition, Education based in Springfield, Illinois. Rebecca A Antonacci is licensed to practice in Illinois (license number 164-002929) and her current practice location is
415 N 9th St, Ste 6w162, Springfield, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 545-3848.
NPI number for Rebecca A Antonacci is 1760463665 and her current mailing address is Po Box 19640, Springfield, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760463665.
Healthcare Provider's Profile
Full Name | Rebecca A Antonacci |
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Gender | Female |
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Speciality | Nutritionist - Nutrition, Education |
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Location | 415 N 9th St, Springfield, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760463665
- Provider Enumeration Date: 11/08/2005
- Last Update Date: 03/18/2010
Medical Identifiers
Medical identifiers for Rebecca A Antonacci such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760463665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164002929 (Illinois) | Secondary |
133NN1002X | Nutritionist - Nutrition, Education | 164-002929 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rebecca A Antonacci is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rebecca A Antonacci, RD, CDE Po Box 19640, Springfield, IL 62794-9640 Ph: (217) 545-3848 | Rebecca A Antonacci, RD, CDE 415 N 9th St, Ste 6w162, Springfield, IL 62702-5303 Ph: (217) 545-3848 |
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