Individual
MRS. SARA E EADES WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-1904
(217) 762-1905
Mailing address
1020 E 1150 NORTH RD, BEMENT, IL 61813-3510
(217) 840-9464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005589
IL
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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