SearchIllinois104100000X

Tana Fedewa, MSWLL

NPI 1982899977 · on the registry since 2007

Practice

Address
1801 Fox Dr
Champaign, IL 61820
Phone
(217) 398-8080
Fax
(217) 398-0172
Organisation at this address
Rosecrance Inc
Rosecrance Inc
Community Elements Inc
Community Elements Inc
Crosspoint Human Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
122

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-09-12

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