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Individual

BRANDON JEREMY GREENFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3024 E EMPIRE ST, BLOOMINGTON, IL 61704-5402
(309) 556-7800
(309) 556-7804
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036172864
IL
2084P0800X
Psychiatry Physician
A170345
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A170345
CA
2084P0804X
Child & Adolescent Psychiatry Physician
ME161253
FL

Other

Enumeration date
04/09/2015
Last updated
05/15/2025
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