| Southern Illinois Nutrition Specialties | |
|
1350 Cedar Ct, Carbondale, IL 62901-5336 | |
| (618) 942-7300 | |
| Not Available |
| Full Name | Southern Illinois Nutrition Specialties |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1350 Cedar Ct, Carbondale, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487700696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Nutrition Specialties Po Box 3301, Carbondale, IL 62902-3301 Ph: (618) 942-7300 | Southern Illinois Nutrition Specialties 1350 Cedar Ct, Carbondale, IL 62901-5336 Ph: (618) 942-7300 |
Samantha Zimmerman, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1385 E Main St, Carbondale, IL 62901 Phone: 618-457-5200 | |
Ms. Lori Trentacosti, REGISTERED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Debra Renee Queen, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9961 | |
Mrs. Stephanie Victoria Wood, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 |