Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Mindy Lee Wallace, RDLDN

Individual provider Registered Dietitian · NPI 1851305304

MS. Mindy Lee Wallace, RDLDN is a Registered Dietitian in Quincy, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2

Practice location Address checks out

935 Jersey St
Quincy, IL 62301-4030
Phone: (217) 228-2413
Fax: (217) 228-2416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164003636 (IL)
Registered Dietitian Taxonomy 133V00000X · Licence 2005004105 (MO)

Record details

NPI number1851305304
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDLDN
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESSeptember 22, 2008
Mailing address2820 E Bluff Ct, Quincy, IL 62305-1329

Other providers in Quincy