Individual
HANNAH GRACE HENRICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16255 HARLEM AVE, TINLEY PARK, IL 60477-1615
(708) 599-5000
Mailing address
314 INVERNESS TRL, MCHENRY, IL 60050-5905
(815) 322-6104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009007
IL
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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