Individual
DEBORAH HENSCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
10003 US ROUTE 30, WATERMAN, IL 60556-7128
(815) 264-3484
Mailing address
25 N WINFIELD, WINFIELD, IL 60190-1295
(815) 264-3484
(815) 264-8659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016166
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400413448
MEDICAIRE INDIVIDUAL
IL
01
—
IL6309
MEDICARE GROUP
IL
Enumeration date
08/02/2017
Last updated
03/17/2018
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