SearchIllinois106S00000X

Jack Henry London, RBT

NPI 1619556982 · on the registry since 2021

Practice

Address
4112 Fieldstone Rd
Suite B
Champaign, IL 61822
Phone
(888) 308-3728
Clinicians at this address
10

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2021-04-05

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