Search › Illinois › 222Q00000X
Jenna Mccrady
NPI 1457903056 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4524 Havenwood Dr
Decatur, IL 62526 - Phone
- (217) 652-1900
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-12
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