Individual
MISS GLORINDA CONLEY HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4131 W. 192ND PL., COUNTRY CLUB HILLS, IL 60478
(708) 957-1391
Mailing address
4131 W. 192ND PL., COUNTRY CLUB HILLS, IL 60478
(708) 957-1391
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2013779
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
358264862B6
MEDICARE HEALTH INSURANCE
IL
Enumeration date
08/08/2014
Last updated
08/08/2014
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