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Individual

DR. JANE TAYLOR GREENFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.MIN LCPC

Contact information

Practice address
4500 SPRING CREEK RD, ROCKFORD, IL 61114-6315
(815) 399-6501
(815) 397-6694
Mailing address
1720 STRATFORD LN, ROCKFORD, IL 61107-1366
(815) 399-6501
(815) 397-6694

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10132119
BLUECROSS BLUESHIELD
IL
Enumeration date
01/10/2007
Last updated
07/08/2007
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