MEDICARE: SUREN CHIU NUTRITION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1497606255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUREN CHIU NUTRITION LLC

Provider Business Mailing Address
First Line	:	1421 S SMITH RD
Second Line	:
City	:	URBANA
State	:	IL
Zip	:	61802-4751
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 S SMITH RD
Second Line	:
City	:	URBANA
State	:	IL
Zip	:	61802-4751
Country	:	US
Telephone Number	:	331-444-2185
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN/OWNER
Name	:	SUREN CHIU
Credential	:	RDN, LDN
Telephone Number	:	331-444-2185

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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