SearchIllinois1041C0700X

Jennifer Carlock, LCSW

NPI 1437876828 · on the registry since 2022

Practice

Address
702 W Chestnut St
Bloomington, IL 61701
Phone
(888) 924-3786
Organisation at this address
Genoa Healthcare Llc
Chestnut Health Systems Inc
Chestnut Health Systems, Inc
Chesntut Health Systems, Inc.
Chesntut Health Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois