Individual
SUREN JENNY CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
4775 E MARYLAND ST, DECATUR, IL 62521-8802
(217) 876-3737
(217) 876-3468
Mailing address
4775 E MARYLAND ST, DECATUR, IL 62521-8802
(217) 864-3737
(217) 864-3468
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
164.007568
IL
133V00000X
Registered Dietitian
Primary
164.007568
IL
Other
Enumeration date
01/04/2019
Last updated
01/16/2020
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