Individual
MRS. STEFANIE HENLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
25259 S REED ST, CHANNAHON, IL 60410-6003
(815) 467-0555
(815) 467-9823
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.017596
IL
363LF0000X
Family Nurse Practitioner
209.017596
IL
Other
Enumeration date
05/22/2018
Last updated
01/28/2021
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