Individual
JOI HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(312) 279-9981
(312) 279-9981
Mailing address
1506 E ROOSEVELT RD, WHEATON, IL 60187-6806
(630) 221-1400
(630) 221-1411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209.024578
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
309.018490
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.449595
STATE OF ILLINOIS
IL
01
—
0414499595
RN
IL
01
—
209.024578
STATE OF ILLINOIS
IL
01
—
309.018490
CONTROLLED SUBSTANCE
IL
Enumeration date
04/24/2017
Last updated
03/07/2023
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