Susan Mary Brown, RD
Dietitian, Registered in Champaign, IL. Individual provider (NPI-1).
NPI number1720095961
StatusActive
Last updated in NPPESDec 26, 2014
Details
- NPI
- 1720095961
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Mary Brown
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- Dec 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164003513 | IL | Yes |
Practice location
1813 W Kirby AveChampaign, IL 61821-5410
Phone 217-384-3490 · Fax 217-383-3439
Mailing address
611 W. Park St.Bwpc
Urbana, IL 61801-2500
Phone 217-383-6792
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All 24 Registered Dietitian providers in Champaign · All 3,018 providers in Champaign
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