SearchIllinoisCounselor

Jesse Medina

NPI 1831655679 · on the registry since 2019

Practice

Address
1601 University Dr
Rockford, IL 61107
Phone
(815) 391-1000
Organisation at this address
Roscrance Inc.
Rosecrance Inc
Rosecrance Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
Counselor
101Y00000X
Sex
Male
Record last updated
2019-02-18

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