Search › Illinois › 1041C0700X
Gregory Brenneisen, LCSW
NPI 1548327422 · on the registry since 2007
Practice
- Address
- 1 Veterans Drive
Manteno, IL 60950 - Phone
- (815) 468-6581
- Fax
- (815) 468-7001
- Organisation at this address
- Illinois Veterans Home At Manteno
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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