# HENDERSON CHIROPRACTIC, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750580999
- **Authorized official:** DR. GARY HENDERSON D.C. (PRESIDENT)
- **Authorized official phone:** (815) 929-2190

## Contact information

- **Practice address:** 100 FITNESS DR, RIVERSIDE HEALTH FITNESS CENTER, BOURBONNAIS, IL 60914-9584
- **Practice address phone:** (815) 929-2190
- **Practice address fax:** (815) 929-2191
- **Mailing address:** 100 FITNESS DR, RIVERSIDE HEALTH FITNESS CENTER, BOURBONNAIS, IL 60914-9584
- **Mailing address phone:** (815) 929-2190
- **Mailing address fax:** (815) 929-2191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | IL | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 07/17/2007
