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Individual

KENYATTA HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9950 S ARTESIAN AVE, CHICAGO, IL 60655-1051
(888) 523-8268
Mailing address
9950 S ARTESIAN AVE, CHICAGO, IL 60655-1051

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209029766
IL

Other

Enumeration date
09/27/2025
Last updated
10/24/2025
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