Melissa A. Nicol, DIETICIAN
Melissa A. Nicol, DIETICIAN is a Registered Dietitian OR Nutrition Professional in Springfield, Illinois. Qualified in 2010, 16 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 16
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
415 N 9th St Ste 6W100Springfield, IL 62702-5303
Phone: (217) 545-8000
Fax: (217) 545-9217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 164005484 (IL) |
|---|
Record details
| NPI number | 1326326380 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DIETICIAN |
| Sole proprietor | No |
| NPI enumerated | July 25, 2011 |
| Last updated in NPPES | November 15, 2013 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Siu Physicians And Surgeons Inc — 316 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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