Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY W HENRICHS, M.D.
ActiveDR. JEREMY W HENRICHS, M.D. is a Sports Medicine healthcare provider located in URBANA, Illinois. NPI 1154326759 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · URBANA, IL
Registration Details
- NPI Number
- 1154326759
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2005 (21.10632983399 yrs)
- Last Updated
- May 22, 2013
- License
-
03611190 (IL)
Practice Information
- Address
-
810 W. ANTHONY DRIVEURBANA, IL, 618017431Browse IL providers · Browse ZIP 61801
- Phone
- 2173262255
- Fax
- 2173260210
- Primary Specialty
-
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.