Organization
STILLWELL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLTON HENDERSON RN (OWNER)
(217) 246-0629
Entity
Organization
Contact information
Practice address
6847 GRIGGS RD, RED BUD, IL 62278-4317
(217) 246-0629
Mailing address
6847 GRIGGS RD, RED BUD, IL 62278-4317
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
171WH0202X
Home Modifications Contractor
Primary
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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