Individual
DR. BRUCE W HENDRICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-3358
(630) 527-5018
Mailing address
24045 WALNUT CIR, PLAINFIELD, IL 60585-2472
(773) 301-2926
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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