Healthcare Provider Details

I. General information

NPI: 1134054588
Provider Name (Legal Business Name): MELISSA SCHUMACHER NUTRITION THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 CRESTVIEW LN
MONTICELLO IL
61856-2211
US

IV. Provider business mailing address

901 CRESTVIEW LN
MONTICELLO IL
61856-2211
US

V. Phone/Fax

Practice location:
  • Phone: 217-343-3170
  • Fax: 877-681-4989
Mailing address:
  • Phone: 217-343-3170
  • Fax: 877-681-4989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MELISSA SCHUMACHER
Title or Position: MEMBER
Credential:
Phone: 217-343-3170