Greenly, Tamar

Greenly, Tamar is an individual health care provider with primary practice located at 702 W Chestnut St , Bloomington IL 61701-2814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Greenly, Tamar can be contacted via phone (309) 557-1400.

Contact Information

Primary practice address
702 W Chestnut St Bloomington IL 61701-2814
Phone: (309) 557-1400
Fax: (309) 557-1461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP8308 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 277.005213 Illinois

Profile Details

NPI number 1194012005
LBN Legal business name Greenly, Tamar
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2011
Last updated Jul 22nd, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194012005 NPPES
Arizona MEDICAID 011587

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