Individual
DR. GARY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
100 FITNESS DR, BOURBONNAIS, IL 60914-9584
(815) 929-2190
(815) 929-2191
Mailing address
100 FITNESS DR, BOURBONNAIS, IL 60914-9584
(815) 929-2190
(815) 929-2191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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