IndividualActive
Ericka Wallace
NPI 1528932506 · Nutritionist · Matteson, IL
Ericka Wallace is a Nutritionist provider in Matteson, IL (NPI 1528932506).
Provider details
- NPI number
- 1528932506
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 18343 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Po Box 665
Matteson, IL 60443-0665
Phone: (312) 613-3335
Approximate (ZIP-level) locationGet directions
Mailing address
3935 W 64th Pl
Chicago, IL 60629-4714
Registry dates
- Enumerated
- 2025-10-02
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Ericka Wallace's NPI number?
- Ericka Wallace's National Provider Identifier (NPI) is 1528932506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ericka Wallace's specialty?
- Ericka Wallace is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).
- Where is Ericka Wallace located?
- Ericka Wallace's practice location on file with NPPES is Po Box 665, Matteson, IL 60443-0665.
- What is Ericka Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ericka Wallace is (312) 613-3335.
- Is Ericka Wallace's NPI active?
- Yes — Ericka Wallace's NPI (1528932506) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.