SearchIllinois104100000X

Jason Greenly, BA, MHP

NPI 1710171699 · on the registry since 2007 · sole proprietor

Practice

Address
70 E Washington St
Champaign, IL 61820
Phone
(217) 398-7785
Fax
(217) 398-7787
Organisation at this address
Rosecrance Inc
Community Elements Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2024-08-21

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