1. Home
  2. Directory
  3. Illinois
  4. Matteson
  5. Nutritionist
  6. NPI Profile

ERICKA WALLACE
NPI 1528932506
Nutritionist in Matteson, IL

Active since October 02, 2025
PO BOX 665, MATTESON, IL 60443(312) 613-3335 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ericka Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICKA WALLACE (NPI 1528932506) is an individual nutritionist in Matteson, Illinois, licensed in Illinois (18343) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1528932506
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameERICKA WALLACE
Location AddressPO BOX 665Matteson, IL 60443-0665
Mailing Address3935 W 64th PlChicago, IL 60629-4714 · (312) 613-3335
Phone(312) 613-3335
Sole ProprietorNo
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1528932506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in IL · 18343
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
PO BOX 665, Matteson, IL 60443
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ericka Wallace's NPI number?

The NPI number for Ericka Wallace is 1528932506. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Ericka Wallace located?

Ericka Wallace practices at PO Box 665, Matteson, IL 60443. The listed phone number is (312) 613-3335.

What is Ericka Wallace's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Ericka Wallace was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.