Individual
JENNIFER SUSAN CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CDCES
Contact information
Practice address
47 BIRCH LN, WILLIAMSVILLE, IL 62693-9701
(217) 732-7014
Mailing address
47 BIRCH LN, WILLIAMSVILLE, IL 62693-9701
(217) 732-7014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-002539
IL
Other
Enumeration date
01/12/2023
Last updated
12/20/2024
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