Jennifer Susan Champion, RDN, LDN, CDCES is a
Dietitian, Registered based in Williamsville, Illinois. Jennifer Susan Champion is licensed to practice in Illinois (license number 164-002539) and her current practice location is
47 Birch Ln, Williamsville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 732-7014.
NPI number for Jennifer Susan Champion is 1275247348 and her current mailing address is 47 Birch Ln, Williamsville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275247348.
Healthcare Provider's Profile
Full Name | Jennifer Susan Champion |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 47 Birch Ln, Williamsville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275247348
- Provider Enumeration Date: 01/12/2023
- Last Update Date: 12/20/2024
Medical Identifiers
Medical identifiers for Jennifer Susan Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275247348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164-002539 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Susan Champion is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Susan Champion, RDN, LDN, CDCES 47 Birch Ln, Williamsville, IL 62693-9701 Ph: (217) 732-7014 | Jennifer Susan Champion, RDN, LDN, CDCES 47 Birch Ln, Williamsville, IL 62693-9701 Ph: (217) 732-7014 |
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