Individual
DR. HENRY C ECHIVERRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3S 517 WINFIELD RD, STE A, WARRENVILLE, IL 60555-3159
(630) 836-9121
(630) 836-9126
Mailing address
3S 517 WINFIELD RD, STE A, WARRENVILLE, IL 60555-3159
(630) 836-9121
(630) 836-9126
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036075202
IL
2084V0102X
Vascular Neurology Physician
036075202
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036075202
STATE LICENSE
IL
05
—
036075202
—
IL
Enumeration date
06/24/2005
Last updated
01/28/2021
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