Individual
JONATHAN T HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
446 E ONTARIO ST # 7-200, CHICAGO, IL 60611-4418
(309) 253-4919
Mailing address
446 E ONTARIO ST # 7-200, CHICAGO, IL 60611-4418
(309) 253-4919
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
L-262986
MA
2084P0802X
Addiction Psychiatry Physician
Primary
036.149899
IL
Other
Enumeration date
06/24/2015
Last updated
07/01/2019
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